Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05943 | Date 25/07/2019 |
| Token No | SM/19-20/7253 25/07/2019 | Serial | 006 Last Visit: 28/01/2023 |
| Patient Name | Mrs. RINKU BANERJEE | Contact No | 9330496594 |
| Address | 26/A CHAKRABORTY LANE SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||