Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05389 | Date 11/06/2019 |
| Token No | SM/19-20/17447 01/02/2020 | Serial | 058 Last Visit: 31/08/2022 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 8334884258 |
| Address | 69/B CHATRA PAMPA NAGAR, BAIDYABATI(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||