Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10727 | Date 28/02/2022 |
| Token No | SM/21-22/10763 14/03/2022 | Serial | 022 Last Visit: 31/08/2023 |
| Patient Name | Mrs. RUPA KHATUN | Contact No | 8583948703 |
| Address | 18/1CHATRA MUSALMAN PARA,BY LANE SERAMPORE | Age | 26 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||