Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09529 | Date 23/04/2021 |
| Token No | SM/21-22/778 23/04/2021 | Serial | 031 Last Visit: 10/09/2025 |
| Patient Name | Mrs. PARVEN KHATUN | Contact No | 9674023586 |
| Address | 7,ARABINDA SARANI SERAMPORE | Age | 28 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||