Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13276 | Date 15/02/2024 |
| Token No | SM/22-23/29193 15/02/2024 | Serial | 033 Last Visit: 13/04/2024 |
| Patient Name | Mrs. RANI BISWAS | Contact No | |
| Address | HARISAVA BAIDYABATI | Age | 27 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||