Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10348 | Date 27/11/2021 |
| Token No | SM/21-22/7265 27/11/2021 | Serial | 041 Last Visit: 31/07/2025 |
| Patient Name | Mrs. JINAT KHATOON | Contact No | 8910120545 |
| Address | ARBINDA SARANI CHATRA SERAMPORE | Age | 26 Years,7 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||