Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10765 | Date 09/03/2022 |
| Token No | SM/21-22/10619 09/03/2022 | Serial | 003 Last Visit: 13/06/2022 |
| Patient Name | Mrs. RIYA BANERJEE | Contact No | 7063812704 |
| Address | 13 GOALAPARA LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 158.4 cm BMI: 24.311932 |
| Diagnosis | |||