Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10361 | Date 29/11/2021 |
| Token No | SM/21-22/7621 09/12/2021 | Serial | 036 Last Visit: 19/09/2022 |
| Patient Name | Mrs. ASAMA BIBI | Contact No | 8777409606 |
| Address | 10,MUSALMAN PARA SERAMPORE | Age | 72 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||