Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07594 | Date 20/02/2020 |
| Token No | SM/19-20/25573 10/09/2020 | Serial | 011 Last Visit: 09/02/2023 |
| Patient Name | Mrs. HENA PARBIN | Contact No | 8250506143 |
| Address | 20, KANAI DEWAN TALA LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||