Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04224 | Date 15/03/2019 |
| Token No | SM/21-22/4929 09/09/2021 | Serial | 027 Last Visit: 25/01/2023 |
| Patient Name | Mrs. SUMITA BARAT | Contact No | 9143740789 |
| Address | 673, G. T. ROAD , SERAMPORE(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||