Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11254 | Date 12/07/2022 |
| Token No | SM/22-23/14504 12/07/2022 | Serial | 015 Last Visit: 28/07/2022 |
| Patient Name | Mrs. LAKSHMIRANI PAL | Contact No | 9875453440 |
| Address | 11/A A.P.GHOSH ROAD SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 144.4 cm BMI: 21.581326 |
| Diagnosis | |||