Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08842 | Date 10/10/2020 |
| Token No | SM/21-22/4504 27/08/2021 | Serial | 039 Last Visit: 29/07/2024 |
| Patient Name | Mrs. BADRUNNISA BIBI | Contact No | 9836995897 |
| Address | DIGBERIA MAJHER PARA MADHYAMGRAM(M) BABU NORTH 24 PRAGANAS | Age | 33 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||