Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10670 | Date 14/02/2022 |
| Token No | SM/21-22/10025 19/02/2022 | Serial | 013 Last Visit: 02/04/2024 |
| Patient Name | Mrs. JAHANARA BEGAM | Contact No | 7439095187 |
| Address | 4 TARAPUKUR LANE( CHAKAPARA ) SERAMPORE | Age | 56 Years,3 Months,0 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 122/75 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||