Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07073 | Date 05/12/2019 |
| Token No | SM/19-20/14682 05/12/2019 | Serial | 010 Last Visit: 02/07/2021 |
| Patient Name | Mrs. SMRITI CHAKRABORTY | Contact No | 9830328898 |
| Address | 38/A CHAKRABORTY LANE CHATRA , SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||