Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07159 | Date 16/12/2019 |
| Token No | SM/19-20/15366 16/12/2019 | Serial | 030 Last Visit: 10/09/2025 |
| Patient Name | Mrs. ANOYARA BEGAM | Contact No | 8820309515 |
| Address | 47 CHATRA MUSALMAN PARA SERAMPORE | Age | 52 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||