Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04557 | Date 04/04/2019 |
| Token No | SM/22-23/24715 26/09/2023 | Serial | 038 Last Visit: 24/07/2024 |
| Patient Name | Mrs. SABIYA BEGAM | Contact No | 6289256409 |
| Address | 13 BARIN GHOSH LANE CHATRA SERAMPORE | Age | 28 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||