Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06204 | Date 22/08/2019 |
| Token No | SM/19-20/8998 22/08/2019 | Serial | 063 Last Visit: 29/08/2025 |
| Patient Name | Mrs. NASIMA BIBI | Contact No | 7439100511 |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 31 Years,2 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||