Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08458 | Date 30/06/2020 |
| Token No | SM/19-20/24113 14/07/2020 | Serial | 016 Last Visit: 18/07/2024 |
| Patient Name | Mrs. SHAKELA BIBI | Contact No | 8928393473 |
| Address | 12 NO CHATRA MUSALMANPARA SERAMPORE M | Age | 44 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||