Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02158 | Date 27/11/2018 |
| Token No | SM/18-19/5796 27/12/2018 | Serial | 054 Last Visit: 01/08/2023 |
| Patient Name | Mrs. SMRITI GHOSH | Contact No | 9143002109 |
| Address | 12 A P GHOSH ROAD | Age | 52 Years,7 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||