Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08361 | Date 16/06/2020 |
| Token No | SM/19-20/23167 16/06/2020 | Serial | 038 Last Visit: 17/06/2020 |
| Patient Name | Mrs. NASRIN SULTANA | Contact No | 8239202073 |
| Address | 5 BARIN GHOSH LANE CHATRA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||