Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11456 | Date 18/08/2022 |
| Token No | SM/22-23/15850 18/08/2022 | Serial | 038 Last Visit: 30/08/2022 |
| Patient Name | Mrs. LALITA KOLEY | Contact No | 9903869375 |
| Address | 127 N.S AVENUE SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 140.6 cm BMI: 35.410120 |
| Diagnosis | |||