Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12216 | Date 10/07/2023 |
| Token No | SM/22-23/22727 10/07/2023 | Serial | 028 Last Visit: 09/10/2023 |
| Patient Name | Mrs. SWATI CHAKRABORTY | Contact No | 9433812007 |
| Address | PRANTIK NEAR BALAK SANGHA ALTARA MADHYA MANKUNDU | Age | 29 Years,9 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||