Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14137 | Date 05/08/2024 |
| Token No | SM/24-25/35778 05/08/2024 | Serial | 035 Last Visit: 05/08/2024 |
| Patient Name | Miss SIMRAN KHATUN | Contact No | 7044628913 |
| Address | 30/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 18 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 99.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||