Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09017 | Date 02/12/2020 |
| Token No | SM/20-21/27997 02/12/2020 | Serial | 012 Last Visit: 02/12/2020 |
| Patient Name | Miss MEHAK KHATUN | Contact No | 7003128600 |
| Address | 20 MUSALMAN PARA LANE TIKIYAPRA SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||