Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05801 | Date 16/07/2019 |
| Token No | SM/22-23/23976 29/08/2023 | Serial | 022 Last Visit: 29/08/2023 |
| Patient Name | Mrs. AYATH PARVEEN | Contact No | 6291423637 |
| Address | 107/C G T ROAD CHATRA BAIDYABATI (M) | Age | 23 Years,9 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 49.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||