Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01650 | Date 12/10/2018 |
| Token No | SM/20-21/31211 26/03/2021 | Serial | 022 Last Visit: 06/01/2025 |
| Patient Name | Mrs. SABIRA KHATUN | Contact No | 9331441867 |
| Address | 7NO, CHATRA ARBINDA SARANI, SERAMPORE HOOGHLY | Age | 22 Years,0 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||