Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01629 | Date 11/10/2018 |
| Token No | SM/21-22/5499 25/09/2021 | Serial | 038 Last Visit: 11/08/2023 |
| Patient Name | Mrs. SAHANARA BIBI | Contact No | 7449644348 |
| Address | 56 N N ROY STREET | Age | 30 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||