Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09516 | Date 22/04/2021 |
| Token No | SM/21-22/709 22/04/2021 | Serial | 044 Last Visit: 24/11/2022 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | 9674023586 |
| Address | 7 ARABINDRA SARANI SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||