Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06254 | Date 28/08/2019 |
| Token No | SM/19-20/9335 28/08/2019 | Serial | 058 Last Visit: 10/11/2025 |
| Patient Name | Miss SITARA KHATUN | Contact No | |
| Address | 12 MUSALMAN PRA , SERAMPORE | Age | 19 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||