Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06100 | Date 09/08/2019 |
| Token No | SM/19-20/8272 09/08/2019 | Serial | 079 Last Visit: 11/12/2023 |
| Patient Name | Mrs. ASMA KHATOON | Contact No | |
| Address | 13GHOSH LANE | Age | 40 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||