Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13117 | Date 13/01/2024 |
| Token No | SM/22-23/28114 13/01/2024 | Serial | 026 Last Visit: 13/01/2024 |
| Patient Name | Mrs. MITA SAHA | Contact No | |
| Address | TELIPARA BAIDYABATI | Age | 37 Years,0 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||