Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13299 | Date 20/02/2024 |
| Token No | SM/22-23/29361 20/02/2024 | Serial | 025 Last Visit: 20/02/2024 |
| Patient Name | Mrs. DITIPRIYA ROY | Contact No | 9874289806 |
| Address | 22/A KUMIR JALA ROAD | Age | 0 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||