Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09954 | Date 17/08/2021 |
| Token No | SM/21-22/4135 17/08/2021 | Serial | 019 Last Visit: 18/08/2021 |
| Patient Name | Mrs. HALIMA BIBI | Contact No | 9163887358 |
| Address | 5,ARABINDA SARANI CHATRA SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||