Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04515 | Date 02/04/2019 |
| Token No | SM/19-20/111 02/04/2019 | Serial | 049 Last Visit: 30/01/2023 |
| Patient Name | Mrs. LIMA PAL | Contact No | 9143236527 |
| Address | 6 PC DAS LANE CHATRA KUMAR PARA SERAMPORE (M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||