Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12929 | Date 13/12/2023 |
| Token No | SM/22-23/27155 13/12/2023 | Serial | 066 Last Visit: 13/12/2023 |
| Patient Name | Mrs. RUMPA ,MANNA | Contact No | |
| Address | SERAMPORE CHATRA | Age | 17 Years,11 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||