Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11966 | Date 13/03/2023 |
| Token No | SM/22-23/20588 13/03/2023 | Serial | 005 Last Visit: 13/03/2023 |
| Patient Name | Mrs. SUPRIYA BEGAM | Contact No | 9883276319 |
| Address | MILKIBADAM TALA , BELUMIKI, SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||