Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11585 | Date 16/09/2022 |
| Token No | SM/22-23/16827 16/09/2022 | Serial | 054 Last Visit: 16/09/2022 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 8013199324 |
| Address | 94A/2 KHATIR BAZAR LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||