Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11253 | Date 12/07/2022 |
| Token No | SM/22-23/14500 12/07/2022 | Serial | 011 Last Visit: 30/07/2022 |
| Patient Name | Mrs. GOURI SHIL | Contact No | 9088939033 |
| Address | 1/2 RAILAND ROAD SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 147.9 cm BMI: 20.571983 |
| Diagnosis | |||