Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11272 | Date 15/07/2022 |
| Token No | SM/22-23/14644 15/07/2022 | Serial | 026 Last Visit: 15/07/2022 |
| Patient Name | Mrs. SHANKUTALA SHAW | Contact No | |
| Address | 13 RABINDRA BHAWAN ROAD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 24.776795 |
| Diagnosis | |||