Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12962 | Date 18/12/2023 |
| Token No | SM/22-23/27307 18/12/2023 | Serial | 037 Last Visit: 18/12/2023 |
| Patient Name | Miss ANKITA DEY | Contact No | |
| Address | CHAPATOLA LANE | Age | 20 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||