Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11714 | Date 28/11/2022 |
| Token No | SM/22-23/18343 28/11/2022 | Serial | 030 Last Visit: 28/11/2022 |
| Patient Name | Mrs. LILA ROY | Contact No | 9038366425 |
| Address | 2 NO BARIN GHOSH LANE SERAMPORE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||