Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10648 | Date 09/02/2022 |
| Token No | SM/21-22/10716 12/03/2022 | Serial | 017 Last Visit: 12/03/2022 |
| Patient Name | Mrs. RASMI RANI GUPTA | Contact No | 9830117868 |
| Address | 659 G T ROAD SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||