Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01806 | Date 31/10/2018 |
| Token No | SM/18-19/3240 31/10/2018 | Serial | 044 Last Visit: 23/07/2024 |
| Patient Name | Mrs. SHARMILA GHOSH | Contact No | 9051621770 |
| Address | 16 NO MUSALMAN PARA ROAD SERAMPORE | Age | 51 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||