Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12627 | Date 13/10/2023 |
| Token No | SM/22-23/25334 13/10/2023 | Serial | 027 Last Visit: 13/10/2023 |
| Patient Name | Mrs. KABITA SENAPATI | Contact No | |
| Address | SERAMPORE | Age | 18 Years,0 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||