Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10883 | Date 05/04/2022 |
| Token No | SM/24-25/34494 04/07/2024 | Serial | 048 Last Visit: 04/07/2024 |
| Patient Name | Mrs. LATIKA GANGULI | Contact No | |
| Address | FIRINGI DANGA ROAD SERAMPORE SHIBPALLY | Age | 53 Years,6 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||