Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09637 | Date 24/05/2021 |
| Token No | SM/21-22/1639 24/05/2021 | Serial | 017 Last Visit: 14/06/2021 |
| Patient Name | Mrs. SAHANARA KHATUN | Contact No | 9123849389 |
| Address | 16/B RABINDRA BHAWAN ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||