Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12036 | Date 17/04/2023 |
| Token No | SM/22-23/21172 17/04/2023 | Serial | 028 Last Visit: 12/06/2023 |
| Patient Name | Mrs. PURNIMA MANNA | Contact No | 7439355008 |
| Address | 11 CHAKRABORTY LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||