Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08882 | Date 16/10/2020 |
| Token No | SM/20-21/26732 16/10/2020 | Serial | 009 Last Visit: 16/10/2020 |
| Patient Name | Mrs. RABANA BIBI | Contact No | 9433657690 |
| Address | 5A/2 CHATRA MUSALMAN PARA SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||