Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05273 | Date 28/05/2019 |
| Token No | SM/19-20/3613 28/05/2019 | Serial | 054 Last Visit: 18/04/2024 |
| Patient Name | Mrs. RAMA PAL | Contact No | 9836050528 |
| Address | 10 CHATRA KUMAR PARA SERAMPORE | Age | 64 Years,3 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||