Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09976 | Date 24/08/2021 |
| Token No | SM/21-22/4318 24/08/2021 | Serial | 007 Last Visit: 24/08/2021 |
| Patient Name | Mrs. NAZIA BEGUM | Contact No | 6289366469 |
| Address | 9,MUSHALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||