Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11980 | Date 17/03/2023 |
| Token No | SM/22-23/20686 17/03/2023 | Serial | 007 Last Visit: 17/03/2023 |
| Patient Name | Miss SAHIDA KHATOON | Contact No | 8334920722 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||