Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13043 | Date 28/12/2023 |
| Token No | SM/22-23/27606 28/12/2023 | Serial | 010 Last Visit: 28/12/2023 |
| Patient Name | Mrs. ANKITA CHAKRABORRTY | Contact No | |
| Address | CHOWDHURY PARA LANE | Age | 42 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||