Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11657 | Date 09/11/2022 |
| Token No | SM/22-23/17755 09/11/2022 | Serial | 024 Last Visit: 09/11/2022 |
| Patient Name | Mrs. KAROBI BHOWMICK | Contact No | 7439066579 |
| Address | 54 BARA BAGAN LANE SERAMPORE MALLICK PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||