Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08336 | Date 11/06/2020 |
| Token No | SM/19-20/22992 11/06/2020 | Serial | 042 Last Visit: 11/06/2020 |
| Patient Name | Mrs. SUFIA BIBI | Contact No | 9339947182 |
| Address | 2/A PARSI LANE SILBAGAN SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||