Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12427 | Date 02/09/2023 |
| Token No | SM/22-23/24084 02/09/2023 | Serial | 015 Last Visit: 02/09/2023 |
| Patient Name | Mrs. ARPITA MODAK | Contact No | |
| Address | SERAMPORE | Age | 26 Years,3 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||