Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09308 | Date 09/03/2021 |
| Token No | SM/20-21/30878 18/03/2021 | Serial | 026 Last Visit: 07/09/2023 |
| Patient Name | Mrs. AFSANA BIBI | Contact No | |
| Address | 14 PHARSI LANE SILBAGAN SERAMPORE | Age | 25 Years,8 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||