Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12121 | Date 01/06/2023 |
| Token No | SM/22-23/21924 01/06/2023 | Serial | 013 Last Visit: 01/06/2023 |
| Patient Name | Miss RAJYASRI GUIN | Contact No | 9007866612 |
| Address | 76/35 CHATRA TETULTALA , BAIDYABATI (M) | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||