Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11255 | Date 12/07/2022 |
| Token No | SM/22-23/15604 11/08/2022 | Serial | 003 Last Visit: 11/08/2022 |
| Patient Name | Mrs. NIRUPAMA GHOSH | Contact No | 8584087651 |
| Address | 19, THAKURDAS BABU LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 21.499597 |
| Diagnosis | |||