Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09505 | Date 22/04/2021 |
| Token No | SM/21-22/672 22/04/2021 | Serial | 007 Last Visit: 22/04/2021 |
| Patient Name | Mrs. RESHMI KHATUN | Contact No | 7439170826 |
| Address | 28 MUSALMANPARA SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||