Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12489 | Date 19/09/2023 |
| Token No | SM/22-23/24514 19/09/2023 | Serial | 026 Last Visit: 19/09/2023 |
| Patient Name | Miss MONIKA MANNA | Contact No | 7003394237 |
| Address | VILL+POST - ARBINDAPUR , JANGIPARA | Age | 19 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||