Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11529 | Date 05/09/2022 |
| Token No | SM/22-23/16384 05/09/2022 | Serial | 057 Last Visit: 05/09/2022 |
| Patient Name | Miss NAGHMA KHATOON | Contact No | 6289791897 |
| Address | 14 PARSHI LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||