Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12047 | Date 25/04/2023 |
| Token No | SM/22-23/21305 25/04/2023 | Serial | 042 Last Visit: 10/05/2023 |
| Patient Name | Mrs. RAMPIYARI SHAW | Contact No | |
| Address | NEAR SERAMPORE COURT | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||