Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12128 | Date 03/06/2023 |
| Token No | SM/22-23/21976 03/06/2023 | Serial | 012 Last Visit: 16/10/2023 |
| Patient Name | Mrs. RINA DEY | Contact No | 8582910790 |
| Address | DAKSHIN RAJYADHARPUR | Age | 50 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||