Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09513 | Date 22/04/2021 |
| Token No | SM/21-22/705 22/04/2021 | Serial | 040 Last Visit: 22/04/2021 |
| Patient Name | Mrs. JUNERA KHATOON | Contact No | 9007218143 |
| Address | 15/BAZAR BYE LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||