Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06630 | Date 14/10/2019 |
| Token No | SM/20-21/31029 22/03/2021 | Serial | 007 Last Visit: 04/10/2021 |
| Patient Name | Mrs. NAJIRA KHATOON | Contact No | 9748523767 |
| Address | MOLLASIMLA , DAKSHINPARA SINGUR | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||