Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06040 | Date 02/08/2019 |
| Token No | SM/19-20/25229 26/08/2020 | Serial | 039 Last Visit: 18/09/2023 |
| Patient Name | Mrs. JAMILA BEGAM | Contact No | 7439251429 |
| Address | 6 PARSHI LANE SERAMPORE | Age | 46 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||