Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05020 | Date 07/05/2019 |
| Token No | SM/19-20/2220 07/05/2019 | Serial | 001 Last Visit: 16/09/2023 |
| Patient Name | Mrs. BINA GHOSH | Contact No | 8020608010 |
| Address | DKAHIN RAJDHAR PUR GHOSH PARA , SERAMPORE | Age | 44 Years,8 Months,14 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||