Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13295 | Date 19/02/2024 |
| Token No | SM/22-23/29329 19/02/2024 | Serial | 058 Last Visit: 19/02/2024 |
| Patient Name | Mrs. GITA DUTTA | Contact No | |
| Address | HARISAVA HOOGHLY | Age | 16 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||