Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04855 | Date 23/04/2019 |
| Token No | SM/19-20/1552 24/04/2019 | Serial | 022 Last Visit: 19/09/2025 |
| Patient Name | Mrs. SALIMA BIBI | Contact No | 9051817737 |
| Address | MADHYAPA BANGIHATI, SIMLA, HOOGHLY | Age | 46 Years,8 Months,18 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||