Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11598 | Date 20/09/2022 |
| Token No | SM/22-23/16937 20/09/2022 | Serial | 031 Last Visit: 20/09/2022 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 6290427491 |
| Address | 171/B VIVEKANANDA SARANI NABAGRAM, BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||