Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10321 | Date 23/11/2021 |
| Token No | SM/21-22/7042 23/11/2021 | Serial | 008 Last Visit: 23/11/2021 |
| Patient Name | Mrs. BULBUL RAJAK | Contact No | 9748750664 |
| Address | 12 CHATRA BAZAR ROAD | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||