Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11157 | Date 20/06/2022 |
| Token No | SM/22-23/13732 20/06/2022 | Serial | 014 Last Visit: 20/06/2022 |
| Patient Name | Mrs. FIROZA BIBI | Contact No | 8583896687 |
| Address | 29/B/2 MIAJAN DARJEE LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 147 cm BMI: 0.000000 |
| Diagnosis | |||