Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11662 | Date 10/11/2022 |
| Token No | SM/22-23/17777 10/11/2022 | Serial | 017 Last Visit: 10/11/2022 |
| Patient Name | Mrs. PUNIYA DEVI | Contact No | 9953101894 |
| Address | 16 BAZAR BYE LANE SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||