Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00084 | Date 03/08/2018 |
| Token No | SM/20-21/27282 07/11/2020 | Serial | 015 Last Visit: 11/03/2022 |
| Patient Name | Mrs. BISAKHA GHOSH | Contact No | 9830414708 |
| Address | 137 A.P GHOSH ROAD, SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||