Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08477 | Date 03/07/2020 |
| Token No | SM/21-22/9797 11/02/2022 | Serial | 019 Last Visit: 11/02/2022 |
| Patient Name | Mrs. RATNA BASAK | Contact No | 9903537369 |
| Address | 15/G DR. BAGAN LANE SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 25.464461 |
| Diagnosis | |||