Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05434 | Date 14/06/2019 |
| Token No | SM/19-20/16419 09/01/2020 | Serial | 020 Last Visit: 29/10/2024 |
| Patient Name | Mrs. RESHMA BEGUM | Contact No | 9330668302 |
| Address | 5/A CHATRA MUSALMAN PARA | Age | 39 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||