Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05577 | Date 26/06/2019 |
| Token No | SM/19-20/5353 26/06/2019 | Serial | 017 Last Visit: 18/10/2023 |
| Patient Name | Mrs. SAMPITA GHOSH | Contact No | 7543973209 |
| Address | 8,A.P.GHOSH ROAD CHATRA SERAMPORE | Age | 35 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||