Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11554 | Date 10/09/2022 |
| Token No | SM/22-23/16593 10/09/2022 | Serial | 023 Last Visit: 10/09/2022 |
| Patient Name | Mrs. KALYANI MUKHERJEE | Contact No | 9433125738 |
| Address | 24/B RAMKRISHNA ROADBYE LANE | Age | 77 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||