Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08124 | Date 22/04/2020 |
| Token No | SM/22-23/14017 25/06/2022 | Serial | 021 Last Visit: 25/06/2022 |
| Patient Name | Miss DURGA MONDAL | Contact No | 9330676717 |
| Address | 31A BARA BAGAN LANE SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||