Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01576 | Date 09/10/2018 |
| Token No | SM/18-19/5632 22/12/2018 | Serial | 009 Last Visit: 30/12/2023 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | |
| Address | 136 CHATRA GHOSH PARA, SERAMPORE | Age | 54 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||