Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05450 | Date 15/06/2019 |
| Token No | SM/19-20/4663 15/06/2019 | Serial | 046 Last Visit: 03/11/2025 |
| Patient Name | Mrs. KANIJA KHATOON | Contact No | 6291047329 |
| Address | 34 MUSALMANPARA /LANE CHATRA SERAMPORE | Age | 41 Years,1 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||