Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11511 | Date 01/09/2022 |
| Token No | SM/22-23/16808 16/09/2022 | Serial | 035 Last Visit: 16/09/2022 |
| Patient Name | Mrs. SAMINA BIBI | Contact No | 8709213534 |
| Address | 14 NO PARSI LANE SIL BAGAN SERAMPORE | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||