Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10055 | Date 07/09/2021 |
| Token No | SM/21-22/4832 07/09/2021 | Serial | 009 Last Visit: 23/02/2024 |
| Patient Name | Mrs. SHIBANI CHOWDHURY | Contact No | 9088692420 |
| Address | G.T.ROAD MANIK GHOSH BAGAN | Age | 51 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||