Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12994 | Date 20/12/2023 |
| Token No | SM/22-23/27385 20/12/2023 | Serial | 029 Last Visit: 20/12/2023 |
| Patient Name | Mrs. JHUMU GHOSH | Contact No | |
| Address | DE [PALLY HOOGHLY | Age | 60 Years,11 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||