Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03475 | Date 08/02/2019 |
| Token No | SM/21-22/7654 10/12/2021 | Serial | 017 Last Visit: 21/01/2022 |
| Patient Name | Mrs. SAIRA BIBI | Contact No | 9038110275 |
| Address | 28 E BAZAR BYE LANE SERAMPORE | Age | 39 YEARS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||