Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09935 | Date 12/08/2021 |
| Token No | SM/21-22/3996 12/08/2021 | Serial | 026 Last Visit: 12/08/2021 |
| Patient Name | Mrs. NILUFA BIBI | Contact No | 8444012446 |
| Address | 8,ARABINDA SARANI CHATRA SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||