Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04566 | Date 05/04/2019 |
| Token No | SM/21-22/2885 06/07/2021 | Serial | 015 Last Visit: 18/07/2024 |
| Patient Name | Mrs. SABITA DAS | Contact No | |
| Address | SERAMPORE | Age | 24 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||