Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11715 | Date 28/11/2022 |
| Token No | SM/22-23/18345 28/11/2022 | Serial | 032 Last Visit: 28/11/2022 |
| Patient Name | Mrs. UMA RANI KUNDU | Contact No | 9007520909 |
| Address | 5 CHOWDHURY PARA BAY LANE CHATRA SERAMPORE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||