Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09834 | Date 13/07/2021 |
| Token No | SM/21-22/6931 18/11/2021 | Serial | 018 Last Visit: 08/12/2021 |
| Patient Name | Mrs. SAYERA BIBI | Contact No | 7439639734 |
| Address | 50/J, KAZI PARA BAIDHYABATI | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||