Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11363 | Date 29/07/2022 |
| Token No | SM/22-23/16458 07/09/2022 | Serial | 038 Last Visit: 07/11/2022 |
| Patient Name | Mrs. SIULI BIBI | Contact No | 9635075965 |
| Address | MURSHIDABAD | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||