Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11540 | Date 07/09/2022 |
| Token No | SM/22-23/16456 07/09/2022 | Serial | 036 Last Visit: 07/11/2022 |
| Patient Name | Mrs. MINATI SETH | Contact No | 9038440933 |
| Address | KALYANI ABASAN, 1 JAMIDAR BAGAN LANE, MALLICK PARA , SERAMPORE, HOOGHLY | Age | 64 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||