Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07342 | Date 14/01/2020 |
| Token No | SM/19-20/18652 25/02/2020 | Serial | 052 Last Visit: 24/12/2022 |
| Patient Name | Mrs. SUPIYA BIBI | Contact No | 9088698935 |
| Address | 88//D MIAJAN DARJEE LANE,SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||