Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12948 | Date 15/12/2023 |
| Token No | SM/22-23/27219 15/12/2023 | Serial | 002 Last Visit: 15/12/2023 |
| Patient Name | Miss PUSPITA MUKHERJEE | Contact No | |
| Address | TELIPARA HOOGHLY | Age | 25 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||