Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11771 | Date 14/12/2022 |
| Token No | SM/22-23/19088 21/12/2022 | Serial | 044 Last Visit: 21/12/2022 |
| Patient Name | Mrs. RASHIDA KHATUN | Contact No | 9477020562 |
| Address | 12 CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||