Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13174 | Date 01/02/2024 |
| Token No | SM/22-23/28616 01/02/2024 | Serial | 001 Last Visit: 11/03/2024 |
| Patient Name | Mrs. LALITA MAITY | Contact No | 9330658355 |
| Address | 18/C BARA BAGAN LANE SERAMPORE | Age | 27 Years,11 Months,4 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||