Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11391 | Date 04/08/2022 |
| Token No | SM/24-25/42126 25/01/2025 | Serial | 067 Last Visit: 25/01/2025 |
| Patient Name | Mrs. NASIMA BEGAM | Contact No | 9674050775 |
| Address | 3 NO MUSALMAN PARA BYE LANE,SERAMPORE | Age | 41 Years,0 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 171/109 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||