Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01163 | Date 15/09/2018 |
| Token No | SM/19-20/10972 23/09/2019 | Serial | 099 Last Visit: 11/07/2023 |
| Patient Name | Mrs. SHYAMALI GHOSH | Contact No | 9804102934 |
| Address | 48/B MUKHERJEE PARA LANE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||