Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13203 | Date 05/02/2024 |
| Token No | SM/22-23/28797 05/02/2024 | Serial | 056 Last Visit: 13/04/2024 |
| Patient Name | Mrs. SUNITA HARI | Contact No | |
| Address | 22 RAY GHAT LANE , SERAMPORE | Age | 28 Years,3 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||