Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08846 | Date 12/10/2020 |
| Token No | SM/20-21/26541 12/10/2020 | Serial | 036 Last Visit: 12/10/2020 |
| Patient Name | Baby JANAB KHATUN | Contact No | 9641044164 |
| Address | 21 CHATRA MUSALMAN PARA SERAMPORE | Age | 10 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||