Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00192 | Date 07/08/2018 |
| Token No | SM/18-19/199 07/08/2018 | Serial | 014 Last Visit: 31/10/2023 |
| Patient Name | Mrs. SUNITA CHATTERJEE | Contact No | |
| Address | 10, P.N. MUKHERJEE STREET | Age | 28 Years,9 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||