Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01238 | Date 20/09/2018 |
| Token No | SM/18-19/10616 15/03/2019 | Serial | 109 Last Visit: 02/05/2022 |
| Patient Name | Mrs. BASUMATI GHOSH | Contact No | 9830847916 |
| Address | 52 MUKHERJEE PARA LANE | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||