Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08758 | Date 21/09/2020 |
| Token No | SM/22-23/24336 12/09/2023 | Serial | 019 Last Visit: 12/09/2023 |
| Patient Name | Miss SUMALI MUKHERJEE | Contact No | 8420176944 |
| Address | 13 SIDDHESWARI LANE SERAMPORE | Age | 18 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||