Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07382 | Date 21/01/2020 |
| Token No | SM/22-23/16781 16/09/2022 | Serial | 008 Last Visit: 16/09/2022 |
| Patient Name | Mrs. RUPBANU (NOORBANU BIBI) | Contact No | |
| Address | 5/A MUSALMAN PARA BYE LANE, CHATRA, SERAMPORE (AADHAAR CARD: 989207993211) | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 145.1 cm BMI: 31.347947 |
| Diagnosis | |||