Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01325 | Date 25/09/2018 |
| Token No | SM/18-19/6764 14/01/2019 | Serial | 055 Last Visit: 25/07/2024 |
| Patient Name | Mrs. MAHUDA BEGUM | Contact No | 9239868147 |
| Address | 20 KUMAR PARA LANE SERAMPORE | Age | 28 Years,6 Months,23 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||