Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11659 | Date 09/11/2022 |
| Token No | SM/22-23/17759 09/11/2022 | Serial | 028 Last Visit: 09/11/2022 |
| Patient Name | Mrs. NASIMA BEGAM | Contact No | 9874407704 |
| Address | 20 PARSHI LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||