Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09388 | Date 24/03/2021 |
| Token No | SM/21-22/1616 22/05/2021 | Serial | 005 Last Visit: 20/01/2023 |
| Patient Name | Mrs. SOMA GHOSH | Contact No | 9874281400 |
| Address | LIBRERY LANE, SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||