Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09720 | Date 14/06/2021 |
| Token No | SM/22-23/11483 06/04/2022 | Serial | 034 Last Visit: 13/07/2023 |
| Patient Name | Mrs. LATA MAL | Contact No | 9007863738 |
| Address | 25 LENIN SARANI SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 19.605921 |
| Diagnosis | |||