Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11263 | Date 13/07/2022 |
| Token No | SM/22-23/14554 13/07/2022 | Serial | 016 Last Visit: 13/07/2022 |
| Patient Name | Mrs. MIRA ROY | Contact No | 9836579550 |
| Address | 39/A BARA BAGAN LANE SERAMPORE | Age | 68 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||