Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08310 | Date 06/06/2020 |
| Token No | SM/19-20/22817 06/06/2020 | Serial | 011 Last Visit: 06/06/2020 |
| Patient Name | Mrs. SARINA KHATUN | Contact No | 6298769087 |
| Address | 33/A CHATRA MUSALMAN PARA SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||