Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11817 | Date 29/12/2022 |
| Token No | SM/22-23/19530 07/01/2023 | Serial | 025 Last Visit: 13/01/2023 |
| Patient Name | Mrs. HIRA KHATUN | Contact No | 7044245126 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||