Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12673 | Date 30/10/2023 |
| Token No | SM/22-23/25714 30/10/2023 | Serial | 040 Last Visit: 11/12/2023 |
| Patient Name | Mrs. AKSARINA KHATUN | Contact No | 7449738066 |
| Address | MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 19 Years,11 Months,9 Days Other |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||