Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10172 | Date 04/10/2021 |
| Token No | SM/21-22/5690 04/10/2021 | Serial | 011 Last Visit: 30/07/2024 |
| Patient Name | Mrs. AFRUKI BIBI | Contact No | 8617250257 |
| Address | MUSHALMANPARA CHATRA SERAMPORE | Age | 31 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||