Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06852 | Date 13/11/2019 |
| Token No | SM/19-20/13165 13/11/2019 | Serial | 092 Last Visit: 27/03/2023 |
| Patient Name | Mrs. KABITA ADHIKARY | Contact No | 7044241217 |
| Address | 21 KUMIRJALA ROAD SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||