Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09685 | Date 08/06/2021 |
| Token No | SM/21-22/2007 08/06/2021 | Serial | 009 Last Visit: 08/06/2021 |
| Patient Name | Mrs. SAKINA KHATUN | Contact No | 6205116805 |
| Address | 14,PARSHI LANE SILBAGAN SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||