Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12207 | Date 06/07/2023 |
| Token No | SM/22-23/22654 06/07/2023 | Serial | 030 Last Visit: 07/05/2024 |
| Patient Name | Miss SUMANA CHAKRABORTY | Contact No | |
| Address | SERAMPORE | Age | 24 Years,4 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||