Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11649 | Date 05/11/2022 |
| Token No | SM/22-23/17674 05/11/2022 | Serial | 016 Last Visit: 05/11/2022 |
| Patient Name | Mrs. SAMPA SARKAR | Contact No | 9874380848 |
| Address | 10/T DR, BAGAN LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||