Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09573 | Date 03/05/2021 |
| Token No | SM/21-22/1077 03/05/2021 | Serial | 025 Last Visit: 20/01/2023 |
| Patient Name | Mrs. SUPARNA BOSE | Contact No | 6290051927 |
| Address | 37/1 SHIBTALA LANE SEORAPHULI,BAIDYABATI(M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||