Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10747 | Date 04/03/2022 |
| Token No | SM/21-22/10530 05/03/2022 | Serial | 033 Last Visit: 23/04/2025 |
| Patient Name | Mrs. ANOWARA BEGAM | Contact No | 9748931169 |
| Address | 33 MUSALMAN PARA BYE LANE SERAMPORE | Age | 40 Years,3 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||