Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 14036 | Date 10/07/2024 |
| Token No | SM/24-25/35170 23/07/2024 | Serial | 050 Last Visit: 23/07/2024 |
| Patient Name | Mrs. SAMIMA BIBI | Contact No | |
| Address | 7, ARABINDA SARANI, SERAMPORE M , CHATRA,712204 | Age | 48 Years,2 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||