Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13022 | Date 26/12/2023 |
| Token No | SM/22-23/27503 26/12/2023 | Serial | 011 Last Visit: 26/12/2023 |
| Patient Name | Mrs. SHIMUL CHAKRABORRTY | Contact No | |
| Address | TELIPARA BAIDABATI | Age | 25 Years,11 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||