Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06791 | Date 05/11/2019 |
| Token No | SM/19-20/13382 16/11/2019 | Serial | 042 Last Visit: 19/04/2024 |
| Patient Name | Mrs. SURUPAN BIBI | Contact No | 8697024890 |
| Address | 1 CHATRA MUSALMAN PARA LANE SERAMPORE | Age | 60 Years,3 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||