Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09453 | Date 08/04/2021 |
| Token No | SM/21-22/9956 18/02/2022 | Serial | 011 Last Visit: 24/08/2023 |
| Patient Name | Mrs. KANIJ AISHA | Contact No | 9073311180 |
| Address | 13,CHATRA MUSHALMAN PARA SERAMPORE | Age | 32 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||