Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01052 | Date 11/09/2018 |
| Token No | SM/19-20/16892 20/01/2020 | Serial | 005 Last Visit: 01/12/2025 |
| Patient Name | Mrs. SALIMA KHATUN | Contact No | 9007422129 |
| Address | 28/A CHATRA BAJAR ROAD SERAMPORE | Age | 23 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||