Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08890 | Date 17/10/2020 |
| Token No | SM/20-21/26785 17/10/2020 | Serial | 016 Last Visit: 02/05/2024 |
| Patient Name | Miss SAFIA KHATUN | Contact No | 7044718068 |
| Address | 20 KUMOR PARA LANE SERAMPORE M | Age | 13 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||