Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13083 | Date 05/01/2024 |
| Token No | SM/22-23/27855 05/01/2024 | Serial | 001 Last Visit: 05/01/2024 |
| Patient Name | Mrs. SULEKHA DEY | Contact No | |
| Address | 2 NO CHAMPA TOLA LANE | Age | 38 Years,0 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||