Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06486 | Date 20/09/2019 |
| Token No | SM/21-22/10000 18/02/2022 | Serial | 055 Last Visit: 08/03/2022 |
| Patient Name | Mrs. RENU MAJHI | Contact No | 7044613279 |
| Address | 19/A DOCTOR BAGAN LANE SERAMPORE MALLICK PARA | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||