Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09988 | Date 25/08/2021 |
| Token No | SM/21-22/4415 25/08/2021 | Serial | 033 Last Visit: 16/09/2021 |
| Patient Name | Mrs. RESHMA KHATUN | Contact No | 9681066418 |
| Address | SILBAGAN | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||