Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00596 | Date 21/08/2018 |
| Token No | SM/21-22/7495 06/12/2021 | Serial | 014 Last Visit: 06/01/2022 |
| Patient Name | Mrs. ANNAPURNA DAS | Contact No | 9903253906 |
| Address | 20, P.N.K BANERJEE LANE, SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||