Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06743 | Date 23/10/2019 |
| Token No | SM/19-20/19820 17/03/2020 | Serial | 079 Last Visit: 30/03/2024 |
| Patient Name | Mrs. SUNITA DEVI | Contact No | 9007282945 |
| Address | 42 LBS ROAD SERAMPORE | Age | 28 Years,2 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||