Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09904 | Date 03/08/2021 |
| Token No | SM/21-22/3718 03/08/2021 | Serial | 014 Last Visit: 03/08/2021 |
| Patient Name | Mrs. SAMIMA KHATUN | Contact No | 9330082321 |
| Address | SAMASTIPUR | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||