Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08311 | Date 06/06/2020 |
| Token No | SM/19-20/23818 06/07/2020 | Serial | 060 Last Visit: 17/01/2025 |
| Patient Name | Mrs. KUSUM KHATUN | Contact No | 6291140330 |
| Address | 12 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 20 Years,3 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||