Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12928 | Date 13/12/2023 |
| Token No | SM/22-23/27154 13/12/2023 | Serial | 065 Last Visit: 13/12/2023 |
| Patient Name | Mrs. MALATI BOSE | Contact No | |
| Address | 19/AP GHOSH LANE | Age | 35 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||