Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04041 | Date 06/03/2019 |
| Token No | SM/22-23/11352 04/04/2022 | Serial | 026 Last Visit: 28/11/2022 |
| Patient Name | Mrs. KALABATI SINGH | Contact No | 8017657184 |
| Address | 4 M.G ROAD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||