Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03738 | Date 20/02/2019 |
| Token No | SM/18-19/9129 20/02/2019 | Serial | 067 Last Visit: 23/02/2022 |
| Patient Name | Miss SABINA KHATUN | Contact No | |
| Address | 4/A,K.M.BHATTACHARJEE STREET | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||