Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14717 | Date 27/12/2024 |
| Token No | SM/24-25/41207 31/12/2024 | Serial | 031 Last Visit: 31/12/2024 |
| Patient Name | Mrs. NURAISHA KHATUN | Contact No | 8084419898 |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 23 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||