Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12473 | Date 14/09/2023 |
| Token No | SM/22-23/24416 14/09/2023 | Serial | 017 Last Visit: 14/09/2023 |
| Patient Name | Mrs. SOUMYAMITA HALDER | Contact No | 8479014915 |
| Address | 24 TELIPARA BAGER BAGAN | Age | 13 Years,3 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||