Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09515 | Date 22/04/2021 |
| Token No | SM/22-23/26749 05/12/2023 | Serial | 007 Last Visit: 10/09/2025 |
| Patient Name | Mrs. ASSMIN KHATUN | Contact No | 9163217508 |
| Address | 7 ARABINDA SARANI SERAMPORE | Age | 25 Years,4 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||