Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12249 | Date 17/07/2023 |
| Token No | SM/22-23/22943 17/07/2023 | Serial | 018 Last Visit: 17/07/2023 |
| Patient Name | Mrs. PRIYANKA SEAL | Contact No | 6291079559 |
| Address | 28 RAJA K L GOSWAMI STREET | Age | 29 Years,3 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||