Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11800 | Date 21/12/2022 |
| Token No | SM/22-23/19087 21/12/2022 | Serial | 043 Last Visit: 22/12/2022 |
| Patient Name | Mrs. JAMILA KHATUN | Contact No | 9477020562 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||