Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11932 | Date 21/02/2023 |
| Token No | SM/22-23/20305 21/02/2023 | Serial | 006 Last Visit: 21/02/2023 |
| Patient Name | Mrs. TITHI SARKER | Contact No | |
| Address | SERAMPORE | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||