Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12367 | Date 25/08/2023 |
| Token No | SM/22-23/23874 25/08/2023 | Serial | 002 Last Visit: 02/07/2025 |
| Patient Name | Mrs. AMITA KHAN | Contact No | |
| Address | 39/A/3 CHATRA BARUI PARA LANE SERAMPORE | Age | 67 Years,6 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||