Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11748 | Date 09/12/2022 |
| Token No | SM/22-23/19924 21/01/2023 | Serial | 009 Last Visit: 10/06/2023 |
| Patient Name | Mrs. BABITA SHAW | Contact No | 8620026812 |
| Address | 16 A/1 AP GHOSH ROAD SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | 161.3 cm BMI: 29.210895 |
| Diagnosis | |||