Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11033 | Date 23/05/2022 |
| Token No | SM/22-23/12794 23/05/2022 | Serial | 042 Last Visit: 26/07/2022 |
| Patient Name | Mrs. MAITREYEE DEBGUPTA | Contact No | 9051454469 |
| Address | 44 PROF K. MUKHERJEE SARANI CHATRA SERAMPORE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||