Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12907 | Date 12/12/2023 |
| Token No | SM/22-23/27085 12/12/2023 | Serial | 034 Last Visit: 12/12/2023 |
| Patient Name | Mrs. BAISHAKI DAS | Contact No | 9123774554 |
| Address | BIJAY NAGAR , SHEORAPHULI | Age | 23 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||