Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11167 | Date 22/06/2022 |
| Token No | SM/22-23/13865 22/06/2022 | Serial | 035 Last Visit: 22/06/2022 |
| Patient Name | Mrs. MALINA MANDAL | Contact No | 9073105851 |
| Address | 31/A BARA BAGAN LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 22.494988 |
| Diagnosis | |||