Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07023 | Date 30/11/2019 |
| Token No | SM/19-20/14353 30/11/2019 | Serial | 027 Last Visit: 13/03/2021 |
| Patient Name | Mrs. SABINA YASMIN | Contact No | 8001317244 |
| Address | 36D/1 KAJIPARA , BAIDYABATI(M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||