Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13132 | Date 18/01/2024 |
| Token No | SM/22-23/28243 18/01/2024 | Serial | 027 Last Visit: 18/01/2024 |
| Patient Name | Miss INDRANI POREL | Contact No | 8617725165 |
| Address | 40 DEY BAGAN LANE SERAMPORE | Age | 22 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||