Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11526 | Date 05/09/2022 |
| Token No | SM/22-23/16353 05/09/2022 | Serial | 026 Last Visit: 05/09/2022 |
| Patient Name | Miss PRIYA DAS | Contact No | 9875503345 |
| Address | 4/A DR. CHATTERJEE LANE SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||