Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11823 | Date 03/01/2023 |
| Token No | SM/22-23/19409 03/01/2023 | Serial | 028 Last Visit: 20/09/2024 |
| Patient Name | Mrs. RUKSHANA PARVEEN | Contact No | 8981974324 |
| Address | 19 NO MUSALMAN PARA BYE LANE, PIARAPUR, SHEORAPHULY, HOOGHLY,712223 | Age | 33 Years,8 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||