Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12028 | Date 08/04/2023 |
| Token No | SM/22-23/21053 08/04/2023 | Serial | 010 Last Visit: 11/12/2024 |
| Patient Name | Mrs. ANJALI SAROJ | Contact No | 9123766621 |
| Address | 18 K.M BHATTACHARYA STREET | Age | 26 Years,0 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||