Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 12695 | Date 02/11/2023 |
| Token No | SM/22-23/25853 02/11/2023 | Serial | 024 Last Visit: 02/01/2024 |
| Patient Name | Mrs. SIMA GHOSH | Contact No | 7890704414 |
| Address | 171/54B BAIDYABATI KAJU PARA (MIR PARA) | Age | 26 Years,1 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||