Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02445 | Date 10/12/2018 |
| Token No | SM/19-20/2020 30/04/2019 | Serial | 088 Last Visit: 23/06/2022 |
| Patient Name | Mrs. MANJU HAJRA | Contact No | 8478091939 |
| Address | TETUL TALA SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||