Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11903 | Date 30/01/2023 |
| Token No | SM/22-23/20149 30/01/2023 | Serial | 054 Last Visit: 30/01/2023 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 9330944836 |
| Address | 34 MUSALMANPARA LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||