Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00625 | Date 21/08/2018 |
| Token No | SM/20-21/26780 17/10/2020 | Serial | 011 Last Visit: 12/02/2025 |
| Patient Name | Mrs. AFSANA PARVEEN BEGAM | Contact No | 9088368560 |
| Address | 7 ARBINDA SARANI CHATRA , SERAMPORE | Age | 31 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||