Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03657 | Date 18/02/2019 |
| Token No | SM/22-23/21051 08/04/2023 | Serial | 008 Last Visit: 22/12/2023 |
| Patient Name | Mrs. MUNI BIBI | Contact No | 9831481291 |
| Address | 46/B BCHATRA MUSALMAN PARA ROAD SERAMPORE | Age | 47 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||