Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08293 | Date 30/05/2020 |
| Token No | SM/19-20/22626 01/06/2020 | Serial | 015 Last Visit: 29/05/2025 |
| Patient Name | Mrs. AMINA KHATOON | Contact No | 9883445730 |
| Address | 14 PARSI LANE ,SILBAGAN SERAMPORE | Age | 26 Years,4 Months,26 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||