Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06809 | Date 06/11/2019 |
| Token No | SM/19-20/17667 05/02/2020 | Serial | 043 Last Visit: 01/08/2025 |
| Patient Name | Mrs. RIJIYA BEGAM | Contact No | 9831315787 |
| Address | 19 CHATRA MUSALMAN PARA , SERAMPORE | Age | 50 Years,7 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||