Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07484 | Date 06/02/2020 |
| Token No | SM/19-20/19986 20/03/2020 | Serial | 023 Last Visit: 13/08/2025 |
| Patient Name | Mrs. NURUNNECHA BIBI | Contact No | 7449959557 |
| Address | KHANDAKAR PARA, SEORAPHULI, BAIDYABATI(M) | Age | 42 Years,1 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||