Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11208 | Date 28/06/2022 |
| Token No | SM/22-23/14117 28/06/2022 | Serial | 039 Last Visit: 28/06/2022 |
| Patient Name | Mrs. LIPIKA KOLEY | Contact No | 9874941260 |
| Address | 6/S/C SC CHATTOPADHYAY SARANI BAHIR SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||