Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12894 | Date 12/12/2023 |
| Token No | SM/22-23/27054 12/12/2023 | Serial | 003 Last Visit: 12/12/2023 |
| Patient Name | Mrs. MITHU PRAMANIK | Contact No | |
| Address | SERAMPORE CHATRA | Age | 32 Years,11 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||