Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12663 | Date 24/10/2023 |
| Token No | SM/22-23/25602 24/10/2023 | Serial | 006 Last Visit: 24/10/2023 |
| Patient Name | Miss DIYA SARKAR | Contact No | |
| Address | AK ROAD SERAMPORE | Age | 23 Years,6 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||