Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04891 | Date 24/04/2019 |
| Token No | SM/19-20/1571 24/04/2019 | Serial | 041 Last Visit: 17/11/2022 |
| Patient Name | Mrs. RUPA DAS | Contact No | 7278070333 |
| Address | 24 BARO BAGAN LANE , SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||