Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12999 | Date 21/12/2023 |
| Token No | SM/22-23/27410 21/12/2023 | Serial | 015 Last Visit: 21/12/2023 |
| Patient Name | Mrs. KAKALI MAHANTO | Contact No | |
| Address | SERAMPORE | Age | 32 Years,0 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||