Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06422 | Date 16/09/2019 |
| Token No | SM/19-20/23532 29/06/2020 | Serial | 040 Last Visit: 21/07/2023 |
| Patient Name | Mrs. ANSARI BEGAM | Contact No | 9903530958 |
| Address | BEROBELO , BELUMILKI , HOOGHLY | Age | 61 Years,6 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||