Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07709 | Date 04/03/2020 |
| Token No | SM/19-20/20156 23/03/2020 | Serial | 051 Last Visit: 03/03/2025 |
| Patient Name | Mrs. RAOSAN BIBI | Contact No | 9831167549 |
| Address | 7/A ARBINDA SARANI SERAMPORE | Age | 64 Years,2 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||