Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09442 | Date 07/04/2021 |
| Token No | SM/21-22/2970 07/07/2021 | Serial | 027 Last Visit: 01/02/2024 |
| Patient Name | Miss MOLLIKA PANDIT | Contact No | 9088513168 |
| Address | CHATRA LANKAR BAGAN SHITLATALA BAIDYABATI | Age | 21 Years,1 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||