Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12892 | Date 12/12/2023 |
| Token No | SM/22-23/27052 12/12/2023 | Serial | 001 Last Visit: 12/12/2023 |
| Patient Name | Mrs. CHAMPA KAR | Contact No | |
| Address | 7 MUKHERJEE PARA | Age | 42 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||