Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00290 | Date 10/08/2018 |
| Token No | SM/20-21/30199 01/03/2021 | Serial | 019 Last Visit: 02/03/2023 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 8017676928 |
| Address | SHEROAPHULY, BAIDYABATI(M) | Age | 31 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||