Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12993 | Date 20/12/2023 |
| Token No | SM/22-23/27382 20/12/2023 | Serial | 026 Last Visit: 13/03/2025 |
| Patient Name | Mrs. DIPA MONDAL | Contact No | |
| Address | BAZAR BYE LANE | Age | 34 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||