Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13100 | Date 08/01/2024 |
| Token No | SM/22-23/27959 08/01/2024 | Serial | 049 Last Visit: 21/05/2024 |
| Patient Name | Mrs. JHUMA CHONGHDAR | Contact No | 9874856093 |
| Address | BAHIR SERAMPORE | Age | 32 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||