Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01683 | Date 26/10/2018 |
| Token No | SM/22-23/18384 29/11/2022 | Serial | 027 Last Visit: 09/01/2024 |
| Patient Name | Mrs. TASLIMA BIBI | Contact No | 8648849746 |
| Address | 29 CHATRA MUSALMAN PARA BYE LANE, SERAMPORE | Age | 65 Years,0 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||