Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13020 | Date 26/12/2023 |
| Token No | SM/22-23/27501 26/12/2023 | Serial | 009 Last Visit: 26/12/2023 |
| Patient Name | Mrs. ANNOPURNA DEY | Contact No | |
| Address | 23 CHATRA CHWDHURY PARA | Age | 63 Years,11 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||