Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05826 | Date 18/07/2019 |
| Token No | SM/19-20/18252 17/02/2020 | Serial | 076 Last Visit: 11/04/2025 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 9330528935 |
| Address | 5/A MUSALMAN PARA BEYLANE,CHATRA SERAMPORE | Age | 60 Years,3 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||