Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09213 | Date 25/01/2021 |
| Token No | SM/20-21/29776 25/01/2021 | Serial | 060 Last Visit: 14/07/2025 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 6290944264 |
| Address | 7 A MUSALMAN PARA BYE LANE, SERAMPORE | Age | 25 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||