Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12023 | Date 05/04/2023 |
| Token No | SM/22-23/21119 11/04/2023 | Serial | 021 Last Visit: 11/04/2023 |
| Patient Name | Mrs. SHOBHA RANI KUNDU | Contact No | 9874369217 |
| Address | 32U DR BAGAN SERAMPORE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||