Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08838 | Date 10/10/2020 |
| Token No | SM/20-21/26486 10/10/2020 | Serial | 003 Last Visit: 10/10/2020 |
| Patient Name | Miss JULEKHA KHATUN | Contact No | 9641044164 |
| Address | 21, CHATRA MUSALMAN PARA BY LANE, SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||