Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12337 | Date 14/08/2023 |
| Token No | SM/22-23/23588 14/08/2023 | Serial | 017 Last Visit: 14/08/2023 |
| Patient Name | Mrs. SUMITA ROY | Contact No | 9874018988 |
| Address | 85/4/B G T ROAD WEST SERAMPORE MALLICK PARA | Age | 72 Years,7 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||