Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10291 | Date 17/11/2021 |
| Token No | SM/21-22/6900 17/11/2021 | Serial | 027 Last Visit: 13/04/2024 |
| Patient Name | Mrs. NIHAR BIBI | Contact No | |
| Address | 39/A,CHATRA MUSHALMAN PARA BYE LANE SERAMPORE | Age | 66 Years,3 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||