Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12384 | Date 28/08/2023 |
| Token No | SM/22-23/23952 28/08/2023 | Serial | 047 Last Visit: 28/08/2023 |
| Patient Name | Mrs. MANDIRA MONDAL | Contact No | 8478985783 |
| Address | BORAI SINGUR HOOGHLY | Age | 23 Years,0 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||