Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12807 | Date 07/12/2023 |
| Token No | SM/22-23/26842 07/12/2023 | Serial | 016 Last Visit: 07/12/2023 |
| Patient Name | Mrs. ARATI GARAI | Contact No | |
| Address | 50/1 CHATRA HOOGHLY | Age | 55 Years,11 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||