Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06644 | Date 15/10/2019 |
| Token No | SM/19-20/11769 15/10/2019 | Serial | 047 Last Visit: 15/10/2019 |
| Patient Name | Mrs. DALIYA BEGAM | Contact No | 8017565445 |
| Address | CHATRA MUSALMAN PARA BYE LANE , SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||