Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05168 | Date 20/05/2019 |
| Token No | SM/22-23/30308 13/03/2024 | Serial | 062 Last Visit: 13/03/2024 |
| Patient Name | Mrs. PUNAM SHAW | Contact No | |
| Address | SERAMPORE,HOOGHLY | Age | 15 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||