Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09602 | Date 11/05/2021 |
| Token No | SM/21-22/4614 01/09/2021 | Serial | 012 Last Visit: 09/01/2024 |
| Patient Name | Mrs. AFSANA BEGAM | Contact No | 9804717481 |
| Address | 6/B KANHAI DEWAN TALA LANE SERAMPORE | Age | 22 Years,0 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||