Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06858 | Date 14/11/2019 |
| Token No | SM/22-23/12847 24/05/2022 | Serial | 037 Last Visit: 24/05/2022 |
| Patient Name | Mrs. RUPA DAS | Contact No | 8981306180 |
| Address | 224, G.T ROAD SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||