Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09527 | Date 23/04/2021 |
| Token No | SM/22-23/23213 27/07/2023 | Serial | 027 Last Visit: 17/11/2025 |
| Patient Name | Mrs. DALIYA BIBI | Contact No | 7439938905 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 41 Years,8 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||