Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07844 | Date 18/03/2020 |
| Token No | SM/21-22/3704 02/08/2021 | Serial | 050 Last Visit: 23/11/2023 |
| Patient Name | Mrs. KHUSBU KHATUN | Contact No | 9123775792 |
| Address | 7/A ARABINDA SARANI,CHATRA SERAMPORE | Age | 23 Years,6 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||