Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04753 | Date 18/04/2019 |
| Token No | SM/19-20/1111 18/04/2019 | Serial | 024 Last Visit: 28/08/2023 |
| Patient Name | Mrs. SUMITRA DEVI KUMAR | Contact No | 7439306998 |
| Address | 4 LBS ROAD TINBAZAR SERAMPORE | Age | 61 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||