Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11457 | Date 18/08/2022 |
| Token No | SM/22-23/15862 18/08/2022 | Serial | 050 Last Visit: 13/03/2024 |
| Patient Name | Mrs. PARBATI PAL | Contact No | 7417636738 |
| Address | 41/10A G.T ROAD SERAMPORE | Age | 51 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||