Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11073 | Date 30/05/2022 |
| Token No | SM/22-23/21846 26/05/2023 | Serial | 009 Last Visit: 17/06/2023 |
| Patient Name | Mrs. RITA GHOSH | Contact No | 9062338970 |
| Address | 4/B P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 19.500595 |
| Diagnosis | |||