Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00875 | Date 01/09/2018 |
| Token No | SM/21-22/8719 10/01/2022 | Serial | 001 Last Visit: 10/01/2022 |
| Patient Name | Mrs. SANGITA MONDAL | Contact No | 9123759188 |
| Address | 53 MUKHERJEE PARA LANE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 141 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||