Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11244 | Date 07/07/2022 |
| Token No | SM/22-23/14423 07/07/2022 | Serial | 045 Last Visit: 25/06/2024 |
| Patient Name | Mrs. MOLLIKA SETH | Contact No | |
| Address | SERAMPORE | Age | 50 Years,5 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||