Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08513 | Date 09/07/2020 |
| Token No | SM/21-22/4806 06/09/2021 | Serial | 038 Last Visit: 07/11/2023 |
| Patient Name | Mrs. MONISHA KHATUN | Contact No | 8240736197 |
| Address | 18 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 23 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||