Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12856 | Date 09/12/2023 |
| Token No | SM/22-23/26971 09/12/2023 | Serial | 085 Last Visit: 20/12/2023 |
| Patient Name | Mrs. JOLI DAS | Contact No | |
| Address | serampore chgatra | Age | 30 Years,11 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||