Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10631 | Date 07/02/2022 |
| Token No | SM/21-22/9766 10/02/2022 | Serial | 027 Last Visit: 10/02/2022 |
| Patient Name | Mrs. SAJDA BEGAM | Contact No | 6291716118 |
| Address | 52 PANCHU GOAL BHADURI LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||