Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12259 | Date 20/07/2023 |
| Token No | SM/22-23/22995 20/07/2023 | Serial | 003 Last Visit: 20/07/2023 |
| Patient Name | Miss RINA SOM | Contact No | |
| Address | SERAMPORE | Age | 18 Years,0 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||