Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 13156 | Date 29/01/2024 |
| Token No | SM/22-23/28483 29/01/2024 | Serial | 041 Last Visit: 29/01/2024 |
| Patient Name | Mrs. SULTANA BEGAM | Contact No | 8481042791 |
| Address | 3 MIAJAN DARJI LANE NEAR MUSLIM JUBOK SANGHA CLUB SERAMPORE , MALLICKPARA | Age | 30 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 28.507522 |
| Diagnosis | |||