Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10908 | Date 09/04/2022 |
| Token No | SM/22-23/11587 09/04/2022 | Serial | 018 Last Visit: 09/04/2022 |
| Patient Name | Miss RUPSANA KHATUN | Contact No | 8100452312 |
| Address | 25/C KANHAI DEWAN TALA LANE SERAMPORE | Age | 12 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||