Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12348 | Date 19/08/2023 |
| Token No | SM/22-23/23684 19/08/2023 | Serial | 020 Last Visit: 16/12/2023 |
| Patient Name | Mrs. KETAKI BOSE | Contact No | 9330217167 |
| Address | 109 18/6 RAJA RAMMOHAN ROY SARANI BAIDYABATI | Age | 35 Years,8 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||