Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08847 | Date 12/10/2020 |
| Token No | SM/20-21/26546 12/10/2020 | Serial | 041 Last Visit: 12/10/2020 |
| Patient Name | Miss MONENA KHATUN | Contact No | 8017374137 |
| Address | 109A, KHANDKAR PARA , BAIDYABATI(M), SHEORAPHULI | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||