Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13319 | Date 22/02/2024 |
| Token No | SM/22-23/29482 22/02/2024 | Serial | 039 Last Visit: 22/02/2024 |
| Patient Name | Miss MOUSUMI KOLEY | Contact No | |
| Address | BARO BALUR | Age | 18 Years,0 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 89/55 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||