Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09690 | Date 08/06/2021 |
| Token No | SM/21-22/2035 08/06/2021 | Serial | 037 Last Visit: 08/06/2021 |
| Patient Name | Mrs. SONALI KHATUN | Contact No | 9748362576 |
| Address | 2/C MUSALMAN PARA,SHEORAPHULY | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||