Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12000 | Date 23/03/2023 |
| Token No | SM/22-23/20812 23/03/2023 | Serial | 012 Last Visit: 02/03/2024 |
| Patient Name | Mrs. SHOVA MONDAL | Contact No | 6290973825 |
| Address | 17/1 BENIA PARA LANE SERAMPORE | Age | 27 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||