Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09410 | Date 30/03/2021 |
| Token No | SM/20-21/31308 30/03/2021 | Serial | 035 Last Visit: 30/03/2021 |
| Patient Name | Mrs. NASIRA KHATUN | Contact No | 6290666768 |
| Address | 7, CHATRA MUSHALMAN PARA,SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||