Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14186 | Date 22/08/2024 |
| Token No | SM/24-25/36376 22/08/2024 | Serial | 048 Last Visit: 22/08/2024 |
| Patient Name | Mrs. JINAT KHATOON | Contact No | 8910120545 |
| Address | 5/A CHATRA ARBINDA SARANI , SERAMPORE | Age | 25 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||