Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13053 | Date 30/12/2023 |
| Token No | SM/22-23/27697 30/12/2023 | Serial | 033 Last Visit: 30/12/2023 |
| Patient Name | Mrs. SUPRITI CHAKRABORTTY | Contact No | |
| Address | CHATRA BARUI PARA | Age | 18 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||