Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11848 | Date 13/01/2023 |
| Token No | SM/22-23/19671 13/01/2023 | Serial | 004 Last Visit: 13/01/2023 |
| Patient Name | Miss MOUSALI NATH | Contact No | 8420032251 |
| Address | 123/A SATCHASI PARA,BAIDYABATI(M) | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||