Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08341 | Date 12/06/2020 |
| Token No | SM/21-22/3127 13/07/2021 | Serial | 034 Last Visit: 01/06/2024 |
| Patient Name | Mrs. BEGAM KAISAR | Contact No | 8584939604 |
| Address | 7 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 68 Years,5 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||