Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12723 | Date 08/11/2023 |
| Token No | SM/22-23/26074 08/11/2023 | Serial | 040 Last Visit: 08/11/2023 |
| Patient Name | Mrs. JYOTSNA BHOWMICK | Contact No | 9836134611 |
| Address | 12/E JANNAGAR ROAD | Age | 83 Years,6 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||