Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09801 | Date 06/07/2021 |
| Token No | SM/21-22/3636 30/07/2021 | Serial | 020 Last Visit: 13/11/2025 |
| Patient Name | Mrs. NAJEMA BIBI | Contact No | 7059224785 |
| Address | 20,KUMOR PARA LANE CHATRA SERAMPORE | Age | 38 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||