Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13125 | Date 17/01/2024 |
| Token No | SM/22-23/28199 17/01/2024 | Serial | 025 Last Visit: 17/01/2024 |
| Patient Name | Mrs. JHUMA GHOSH | Contact No | |
| Address | 101KB LANE | Age | 26 Years,0 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||