Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10554 | Date 13/01/2022 |
| Token No | SM/21-22/9641 07/02/2022 | Serial | 031 Last Visit: 07/02/2022 |
| Patient Name | Mrs. MOLLA RABEJAN | Contact No | 9903027647 |
| Address | DANKUNI | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||