Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01355 | Date 26/09/2018 |
| Token No | SM/18-19/2098 26/09/2018 | Serial | 027 Last Visit: 27/07/2023 |
| Patient Name | Mrs. MANDIRA MONDAL | Contact No | 8017847064 |
| Address | 1 CHATRA BARUI PARA LANE SERAMPORE | Age | 65 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||