Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11178 | Date 23/06/2022 |
| Token No | SM/22-23/13906 23/06/2022 | Serial | 025 Last Visit: 06/07/2022 |
| Patient Name | Miss SUCHISMITA SIKDAR | Contact No | 6289354768 |
| Address | 28/A CHANDRA MOHAN ROY LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||