Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11368 | Date 29/07/2022 |
| Token No | SM/22-23/15180 29/07/2022 | Serial | 025 Last Visit: 29/07/2022 |
| Patient Name | Miss SUNITA RAJBHAR | Contact No | 9831456783 |
| Address | KUMIR JALA ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||