Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01053 | Date 11/09/2018 |
| Token No | SM/21-22/3428 23/07/2021 | Serial | 044 Last Visit: 04/04/2024 |
| Patient Name | Mrs. SOREFA BIBI | Contact No | 9007422139 |
| Address | 28/A CHATRA BAJAR ROAD SERAMPORE | Age | 21 Years,3 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||