Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12045 | Date 21/04/2023 |
| Token No | SM/22-23/21241 21/04/2023 | Serial | 046 Last Visit: 21/04/2023 |
| Patient Name | Mrs. GURIYA SAH | Contact No | 9875517036 |
| Address | 14 GITEN LAHIRI ROAD SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||