Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13000 | Date 21/12/2023 |
| Token No | SM/22-23/27411 21/12/2023 | Serial | 016 Last Visit: 21/12/2023 |
| Patient Name | Mrs. SONAMONI GAYEN | Contact No | |
| Address | SERAMPORE | Age | 27 Years,0 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||