Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09687 | Date 08/06/2021 |
| Token No | SM/21-22/3578 28/07/2021 | Serial | 012 Last Visit: 28/07/2021 |
| Patient Name | Mrs. RUBINA KHATUN | Contact No | 6205116805 |
| Address | 14,PARSHI LANE SILBAGAN SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||