Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02445 | Date 10/12/2018 |
| Token No | SM/18-19/4990 10/12/2018 | Serial | 038 Last Visit: 23/06/2022 |
| Patient Name | Mrs. MANJU HAJRA | Contact No | 8478091939 |
| Address | TETUL TALA SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||