Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12214 | Date 10/07/2023 |
| Token No | SM/22-23/23006 20/07/2023 | Serial | 014 Last Visit: 01/08/2023 |
| Patient Name | Mrs. KRISHNA KAR | Contact No | 9051401441 |
| Address | 27 HARIMOHAN GOSWAMI PARA LANE SERAMPORE | Age | 46 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||