Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10667 | Date 12/02/2022 |
| Token No | SM/21-22/9813 12/02/2022 | Serial | 006 Last Visit: 12/02/2022 |
| Patient Name | Mrs. SUMITA GHOSH | Contact No | 9874523419 |
| Address | 30 B. P DEY STREET SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||