Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01148 | Date 14/09/2018 |
| Token No | SM/21-22/6299 26/10/2021 | Serial | 053 Last Visit: 21/07/2022 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 8017676928 |
| Address | BAIDYABATI(M) SHEORAPHULI | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||