Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12044 | Date 20/04/2023 |
| Token No | SM/22-23/21231 20/04/2023 | Serial | 000 Last Visit: 20/04/2023 |
| Patient Name | Mrs. PANCHI PAL | Contact No | 9051938477 |
| Address | 51 DHARMATALA LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||