Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04426 | Date 27/03/2019 |
| Token No | SM/18-19/11374 27/03/2019 | Serial | 078 Last Visit: 09/12/2024 |
| Patient Name | Mrs. SARIFA BEGAM | Contact No | 6289256409 |
| Address | 13 BARIN GHOSH LANE CHATRA KUMAR PARA SERAMPORE | Age | 60 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||