Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03441 | Date 07/02/2019 |
| Token No | SM/24-25/30983 02/04/2024 | Serial | 051 Last Visit: 02/04/2024 |
| Patient Name | Mrs. KAKOLI MONDAL | Contact No | |
| Address | SERAMPORE | Age | 40 Years,5 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||