Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00451 | Date 14/08/2018 |
| Token No | SM/19-20/12062 19/10/2019 | Serial | 011 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, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||