Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11853 | Date 16/01/2023 |
| Token No | SM/22-23/24097 04/09/2023 | Serial | 013 Last Visit: 12/04/2024 |
| Patient Name | Mrs. PARUL MONDAL | Contact No | |
| Address | BAGER BAGAN | Age | 69 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||