Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05088 | Date 13/05/2019 |
| Token No | SM/24-25/38904 01/11/2024 | Serial | 031 Last Visit: 01/11/2024 |
| Patient Name | Mrs. RASHIDA FIROZ | Contact No | |
| Address | 23/1A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 41 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||