Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10807 | Date 15/03/2022 |
| Token No | SM/21-22/11055 24/03/2022 | Serial | 016 Last Visit: 24/03/2022 |
| Patient Name | Mrs. LAKSHMI DHARA | Contact No | 9163890623 |
| Address | 33 LIBRARY LANE SERAMPORE HOOGHLY | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||