Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11816 | Date 29/12/2022 |
| Token No | SM/22-23/19600 09/01/2023 | Serial | 039 Last Visit: 09/01/2023 |
| Patient Name | Mrs. SUSMITA SAHA | Contact No | 9062521724 |
| Address | 9B TARAPUKUR LANE MALLICKPARA SERAMPORE | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||