Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10398 | Date 09/12/2021 |
| Token No | SM/21-22/7602 09/12/2021 | Serial | 017 Last Visit: 08/04/2022 |
| Patient Name | Mr. PARVEEN KHATOON | Contact No | 6290496367 |
| Address | 36, MUSHALMAN PARA SER5AMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||