Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12173 | Date 23/06/2023 |
| Token No | SM/22-23/22388 23/06/2023 | Serial | 020 Last Visit: 23/06/2023 |
| Patient Name | Mrs. PRATIMA BISWAS | Contact No | 9163832338 |
| Address | 55 RAILAND ROAD SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||