Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10635 | Date 08/02/2022 |
| Token No | SM/22-23/13107 01/06/2022 | Serial | 013 Last Visit: 09/04/2024 |
| Patient Name | Mrs. RASINA KHATOON | Contact No | 7439995929 |
| Address | ARABINDA SARANI SERAMPORE | Age | 21 Years,5 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||