Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08110 | Date 18/04/2020 |
| Token No | SM/19-20/21316 18/04/2020 | Serial | 025 Last Visit: 18/04/2020 |
| Patient Name | Mrs. SAHAJIDA KHATUN | Contact No | 9874876616 |
| Address | 18/1 MUSALMAN PARA BYE LANE SERAMPORE | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||