Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09531 | Date 23/04/2021 |
| Token No | SM/21-22/782 23/04/2021 | Serial | 035 Last Visit: 23/04/2021 |
| Patient Name | Miss PRIYA KHATUN | Contact No | 7003555740 |
| Address | 6/B CHATRA KANAI DANE PARA LANE SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||