Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07729 | Date 07/03/2020 |
| Token No | SM/21-22/1990 07/06/2021 | Serial | 029 Last Visit: 05/03/2022 |
| Patient Name | Miss NARGIS KHATUN | Contact No | 9330312977 |
| Address | 7/A MUSALMAN PARA LANE CHATRA SERAMPORE | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||