Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 009414 | Date 31/03/2021 |
| Token No | SM/21-22/5284 21/09/2021 | Serial | 011 Last Visit: 28/03/2024 |
| Patient Name | Mrs. FARIDA KHATUN | Contact No | 8910237477 |
| Address | 18,CHATRA MUSHALMAN PARA,SERAMPORE | Age | 27 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||