Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04780 | Date 20/04/2019 |
| Token No | SM/21-22/7501 06/12/2021 | Serial | 020 Last Visit: 12/09/2023 |
| Patient Name | Mrs. NASRIFA BIBI | Contact No | 9681981014 |
| Address | 19/C CHATRA KUMER PARA, SERAMPORE | Age | 31 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||