Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12613 | Date 12/10/2023 |
| Token No | SM/22-23/25281 12/10/2023 | Serial | 028 Last Visit: 12/10/2023 |
| Patient Name | Miss SRIPARNA PATRA | Contact No | 8013966906 |
| Address | 21 M A K DUTTA SARANI CHATRA SERAMPORE | Age | 28 Years,7 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||