Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12657 | Date 21/10/2023 |
| Token No | SM/22-23/25583 21/10/2023 | Serial | 001 Last Visit: 05/10/2024 |
| Patient Name | Mrs. CHANCHAL PASWAN | Contact No | |
| Address | 16K/1 SITAL SARKAR LANE MAHESH SERAMPORE | Age | 24 Years,0 Months,4 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||