Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09635 | Date 22/05/2021 |
| Token No | SM/21-22/1613 22/05/2021 | Serial | 002 Last Visit: 11/03/2024 |
| Patient Name | Mrs. HENA BEGAM | Contact No | 9051664481 |
| Address | 34,MUSHALMAN PARA SERASMPORE | Age | 49 Years,2 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||