Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10555 | Date 13/01/2022 |
| Token No | SM/21-22/9640 07/02/2022 | Serial | 030 Last Visit: 07/02/2022 |
| Patient Name | Mrs. KAMRUNNESA BEGUM | Contact No | 9932602776 |
| Address | DIGHNAGAR | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||