Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00912 | Date 04/09/2018 |
| Token No | SM/19-20/51 01/04/2019 | Serial | 052 Last Visit: 24/07/2024 |
| Patient Name | Mrs. RIJIYA BIBI | Contact No | 8697619357 |
| Address | 13 MUSALMAN PARA SERAMPORE | Age | 37 Years,6 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||