Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01535 | Date 05/10/2018 |
| Token No | SM/18-19/2515 05/10/2018 | Serial | 036 Last Visit: 31/07/2025 |
| Patient Name | Miss SULTANA KHATUN | Contact No | |
| Address | SERAMPORE | Age | 21 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||