Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04498 | Date 01/04/2019 |
| Token No | SM/19-20/7304 25/07/2019 | Serial | 057 Last Visit: 12/09/2023 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 7044922144 |
| Address | 7A ARBINDA SARANI SERAMPORE | Age | 40 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||