Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12399 | Date 31/08/2023 |
| Token No | SM/22-23/24022 31/08/2023 | Serial | 036 Last Visit: 31/08/2023 |
| Patient Name | Miss SONIA KHATOON | Contact No | 6289305175 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 19 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||