Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10354 | Date 27/11/2021 |
| Token No | SM/21-22/7271 27/11/2021 | Serial | 047 Last Visit: 27/11/2021 |
| Patient Name | Mrs. HAZRA KHATUN | Contact No | 7890526596 |
| Address | MUSALMAN PARA BYE LANE SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||