Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05288 | Date 29/05/2019 |
| Token No | SM/19-20/24803 07/08/2020 | Serial | 010 Last Visit: 05/02/2024 |
| Patient Name | Mrs. ASMA KHATUN | Contact No | 9830974576 |
| Address | 13 BARIN GHOSH LANE CHATRA SERAMPORE | Age | 41 Years,1 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||