Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11593 | Date 19/09/2022 |
| Token No | SM/22-23/16892 19/09/2022 | Serial | 042 Last Visit: 19/09/2022 |
| Patient Name | Miss SAHNAZ KHATUN | Contact No | 7439132532 |
| Address | 12 MUSALMAN PARA BYE LANE SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||