Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06304 | Date 02/09/2019 |
| Token No | SM/19-20/9629 02/09/2019 | Serial | 024 Last Visit: 22/07/2022 |
| Patient Name | Mrs. SMRITI GHOSH | Contact No | 8479868297 |
| Address | 4/A CHATRA DHARMOTLA BYE LANE , SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||