Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08548 | Date 17/07/2020 |
| Token No | SM/21-22/6909 17/11/2021 | Serial | 036 Last Visit: 28/11/2023 |
| Patient Name | Mrs. ANUWARA BIBI | Contact No | 9836859295 |
| Address | 29/B CHATRA MUSALMAN PARA SERAMPORE | Age | 40 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||