Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11793 | Date 21/12/2022 |
| Token No | SM/22-23/19071 21/12/2022 | Serial | 027 Last Visit: 21/01/2023 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 9874630820 |
| Address | 15 KAPURIYA PATTY LANE, SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 21.750197 |
| Diagnosis | |||