Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11805 | Date 23/12/2022 |
| Token No | SM/22-23/19175 23/12/2022 | Serial | 020 Last Visit: 23/12/2022 |
| Patient Name | Mrs. RAJKUMARI DEVI | Contact No | 8820635898 |
| Address | 23 L B S ROAD SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||