Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11852 | Date 16/01/2023 |
| Token No | SM/22-23/19733 16/01/2023 | Serial | 001 Last Visit: 16/01/2023 |
| Patient Name | Mrs. SAQNGITA BARIK | Contact No | 9748095984 |
| Address | SARDAR PARA CHOTOBELU ,SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||