Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10230 | Date 25/10/2021 |
| Token No | SM/21-22/6232 25/10/2021 | Serial | 054 Last Visit: 25/10/2021 |
| Patient Name | Miss MAHAJABIN KHATUN | Contact No | 9062312206 |
| Address | K.M BHATTACHARYA STREET | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||