Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08668 | Date 25/08/2020 |
| Token No | SM/21-22/5188 17/09/2021 | Serial | 011 Last Visit: 15/12/2021 |
| Patient Name | Miss SAHANAJ KHATUN | Contact No | |
| Address | SHEORAPHULY | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||