Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11439 | Date 13/08/2022 |
| Token No | SM/22-23/15725 13/08/2022 | Serial | 054 Last Visit: 13/08/2022 |
| Patient Name | Mrs. ALPANA MITRA | Contact No | 8910783041 |
| Address | 47/A MUKHERJEE PARA LANE SERAMPORE | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||