Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10531 | Date 10/01/2022 |
| Token No | SM/21-22/8722 10/01/2022 | Serial | 004 Last Visit: 01/06/2022 |
| Patient Name | Mrs. SAMINA BEGUM | Contact No | 9836572163 |
| Address | 20,KANAI DIAN TALA CHATRA | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||