Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10154 | Date 28/09/2021 |
| Token No | SM/21-22/5595 28/09/2021 | Serial | 027 Last Visit: 09/08/2023 |
| Patient Name | Mrs. HALIMA KHATUN | Contact No | 7003316926 |
| Address | 18/1 CHATRA MUSHALMAN PARA SERAMPORE | Age | 28 Years,6 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||