Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12372 | Date 25/08/2023 |
| Token No | SM/22-23/23889 25/08/2023 | Serial | 017 Last Visit: 30/10/2023 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 8820985300 |
| Address | 10 T C GOSWAMI STREET SERAMPORE | Age | 32 Years,9 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||