Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10654 | Date 10/02/2022 |
| Token No | SM/21-22/9896 15/02/2022 | Serial | 027 Last Visit: 23/05/2023 |
| Patient Name | Mrs. NAMITA HALDER | Contact No | 8017603229 |
| Address | 226/81 G T ROAD TELIPARA BAGER BAGAN CHATRA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||