Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11900 | Date 30/01/2023 |
| Token No | SM/22-23/20109 30/01/2023 | Serial | 014 Last Visit: 30/01/2023 |
| Patient Name | Mrs. SUSAMA ASH | Contact No | |
| Address | 11 DUTTAS LANE SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 139 cm BMI: 21.738005 |
| Diagnosis | |||