Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09087 | Date 22/12/2020 |
| Token No | SM/20-21/28687 22/12/2020 | Serial | 034 Last Visit: 22/12/2020 |
| Patient Name | Baby SUHANA KHATUN | Contact No | 7890543022 |
| Address | 19 CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 4 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||