Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11835 | Date 07/01/2023 |
| Token No | SM/22-23/19539 07/01/2023 | Serial | 034 Last Visit: 09/03/2023 |
| Patient Name | Mrs. RUKHSAR KHATUN | Contact No | 7003582642 |
| Address | 20 PARSHI LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||