Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00451 | Date 14/08/2018 |
| Token No | SM/18-19/560 16/08/2018 | Serial | 048 Last Visit: 28/11/2025 |
| Patient Name | Mrs. NAJIMA BEGAM | Contact No | 7980536110 |
| Address | 5/A, MUSALMAN PARA, CHATRA, SERAMPORE | Age | 34 Years,10 Months,27 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 118/76 mmHg | Weight | 65 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||