Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13321 | Date 23/02/2024 |
| Token No | SM/22-23/29496 23/02/2024 | Serial | 002 Last Visit: 23/02/2024 |
| Patient Name | Mrs. RENUKA DEY | Contact No | |
| Address | SERAMPORE CHATRA | Age | 22 Years,1 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||