Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08733 | Date 10/09/2020 |
| Token No | SM/19-20/25638 10/09/2020 | Serial | 076 Last Visit: 06/09/2025 |
| Patient Name | Mrs. KANEEZ AISHA | Contact No | 9073311180 |
| Address | 18/16, DR NURI VI LANE CHAMPDANI , BAIDYABATI(M) | Age | 34 Years,8 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||