Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08328 | Date 10/06/2020 |
| Token No | SM/21-22/5823 07/10/2021 | Serial | 006 Last Visit: 06/09/2025 |
| Patient Name | Mrs. HASINA BEGAM | Contact No | 7449899983 |
| Address | 56A N.N ROY STREET SERAMPORE | Age | 77 Years,8 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||