Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11974 | Date 15/03/2023 |
| Token No | SM/22-23/20909 30/03/2023 | Serial | 005 Last Visit: 30/03/2023 |
| Patient Name | Mrs. SAMINA KHATOON | Contact No | 9117587262 |
| Address | 1 CHATRA MUSALMAN PARA SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||