Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10385 | Date 04/12/2021 |
| Token No | SM/21-22/7622 09/12/2021 | Serial | 037 Last Visit: 09/12/2021 |
| Patient Name | Mrs. MANOYARA BIBI | Contact No | 9804787104 |
| Address | 10,MUSHALMAN PARA LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||