Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03708 | Date 19/02/2019 |
| Token No | SM/18-19/9061 19/02/2019 | Serial | 091 Last Visit: 26/11/2025 |
| Patient Name | Miss REHANA BIBI | Contact No | |
| Address | 28 LIBARARY LANE SERAMPORE | Age | 70 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||