Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11582 | Date 16/09/2022 |
| Token No | SM/22-23/16807 16/09/2022 | Serial | 034 Last Visit: 16/09/2022 |
| Patient Name | Miss SARWARI KHATOON | Contact No | 9674070102 |
| Address | 21 PARSHI LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||