Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10368 | Date 01/12/2021 |
| Token No | SM/21-22/7381 01/12/2021 | Serial | 030 Last Visit: 14/09/2022 |
| Patient Name | Mrs. SAHANAZ PARVIN | Contact No | 7439639734 |
| Address | 50/J KAZI PARA BAIDYABATI M | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||