Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09969 | Date 23/08/2021 |
| Token No | SM/21-22/4475 27/08/2021 | Serial | 010 Last Visit: 27/08/2021 |
| Patient Name | Mrs. ROSNA KHATUN | Contact No | 7278612401 |
| Address | 43,GAZI ABDUL SAHEB SARANI HINDMOTOR | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||