Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12842 | Date 08/12/2023 |
| Token No | SM/22-23/26880 08/12/2023 | Serial | 022 Last Visit: 08/12/2023 |
| Patient Name | Mrs. MOLLIKA SOM | Contact No | |
| Address | SERAMPORE | Age | 28 Years,0 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||