Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13164 | Date 29/01/2024 |
| Token No | SM/22-23/28510 29/01/2024 | Serial | 068 Last Visit: 29/01/2024 |
| Patient Name | Mrs. SIKHA ADHIKARI | Contact No | |
| Address | SERAMPORE CHTRA | Age | 32 Years,0 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||