Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07746 | Date 11/03/2020 |
| Token No | SM/20-21/26033 25/09/2020 | Serial | 025 Last Visit: 13/11/2024 |
| Patient Name | Mrs. SAJAHA BIBI | Contact No | 8584897614 |
| Address | 20 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 38 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||