Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05645 | Date 02/07/2019 |
| Token No | SM/19-20/12290 23/10/2019 | Serial | 028 Last Visit: 26/11/2021 |
| Patient Name | Mrs. MAFUJA BEGAM | Contact No | 6303175814 |
| Address | 33 CHATRA MUSALMAN PARA TIKIYA PARA,SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||