Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11616 | Date 24/09/2022 |
| Token No | SM/22-23/17094 24/09/2022 | Serial | 023 Last Visit: 24/09/2022 |
| Patient Name | Mrs. SWAPNA GHOSH ROY | Contact No | 9064310752 |
| Address | 182 CHATRA MUKHERJEE PARA BAIDYABATI M | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||