Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11319 | Date 22/07/2022 |
| Token No | SM/22-23/14926 22/07/2022 | Serial | 051 Last Visit: 27/03/2023 |
| Patient Name | Miss CHANDRA HALDER | Contact No | 8167292983 |
| Address | GOPALPUR, SHIBTALA, HOOGHLY | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||