Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09714 | Date 12/06/2021 |
| Token No | SM/24-25/31065 03/04/2024 | Serial | 073 Last Visit: 03/04/2024 |
| Patient Name | Mrs. MANSURA BIBI | Contact No | |
| Address | 26 A MIAJAN DARJEE LANE SERAMPORE | Age | 41 Years,3 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||