Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03621 | Date 16/02/2019 |
| Token No | SM/18-19/8822 16/02/2019 | Serial | 046 Last Visit: 03/03/2025 |
| Patient Name | Mrs. MUMTAJ KHATUN | Contact No | 9088249604 |
| Address | 10 T.C GOSWAMI STREET SERAMPORE | Age | 37 Years,2 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||