Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12432 | Date 04/09/2023 |
| Token No | SM/22-23/24133 04/09/2023 | Serial | 049 Last Visit: 04/09/2023 |
| Patient Name | Mrs. RUPSONA BEGUM | Contact No | 9681380682 |
| Address | MALLIKPARA, KESHABPUR, ARAMBAGH, HOOGHLY, 712428 | Age | 35 Years,8 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||