Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12191 | Date 01/07/2023 |
| Token No | SM/22-23/22527 01/07/2023 | Serial | 014 Last Visit: 01/07/2023 |
| Patient Name | Mrs. PAMPA MONDAL | Contact No | 8697719166 |
| Address | CHATRA BAGER BAGAN | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||