Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12724 | Date 08/11/2023 |
| Token No | SM/22-23/26079 08/11/2023 | Serial | 045 Last Visit: 25/11/2023 |
| Patient Name | Mrs. REGINA BEGAM | Contact No | 9831474634 |
| Address | 3NO CHATRA BARIN GHOSH LANE, SERAMPORE | Age | 47 Years,9 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||