Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09912 | Date 05/08/2021 |
| Token No | SM/21-22/3784 05/08/2021 | Serial | 016 Last Visit: 05/08/2021 |
| Patient Name | Mrs. NASIMA KHATUN | Contact No | 9339565611 |
| Address | 21,MUSALMAN PARA BYE LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||