Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02533 | Date 14/12/2018 |
| Token No | SM/18-19/5253 14/12/2018 | Serial | 042 Last Visit: 21/06/2022 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 9088474966 |
| Address | 11/A A.P GHOSH ROAD SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||