Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09916 | Date 07/08/2021 |
| Token No | SM/21-22/3841 07/08/2021 | Serial | 012 Last Visit: 07/08/2021 |
| Patient Name | Mrs. RUBAIDA KHATUN | Contact No | 9088352248 |
| Address | 12/B/1 RABINDRA BHAWAN ROAD SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||