Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09974 | Date 23/08/2021 |
| Token No | SM/21-22/4296 23/08/2021 | Serial | 040 Last Visit: 27/01/2024 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | 9088697752 |
| Address | 30/A CHATRA MUSALMAN PARA , SERAMPORE | Age | 31 Years,5 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||