Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10763 | Date 08/03/2022 |
| Token No | SM/21-22/10604 08/03/2022 | Serial | 029 Last Visit: 08/03/2022 |
| Patient Name | Mrs. SHAKUNTALA SHAW | Contact No | |
| Address | 13 RABINDRA BHAVAN ROAD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 151.8 cm BMI: 25.170072 |
| Diagnosis | |||