Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10375 | Date 02/12/2021 |
| Token No | SM/22-23/11407 05/04/2022 | Serial | 015 Last Visit: 05/04/2022 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | 9330827964 |
| Address | 7,ARABINDU SARANI SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||