Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12949 | Date 15/12/2023 |
| Token No | SM/22-23/27222 15/12/2023 | Serial | 005 Last Visit: 15/12/2023 |
| Patient Name | Mrs. SEFALI SHAW | Contact No | |
| Address | SERAMPORE HOOGHLY | Age | 35 Years,11 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||