Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13336 | Date 26/02/2024 |
| Token No | SM/22-23/29622 26/02/2024 | Serial | 051 Last Visit: 26/02/2024 |
| Patient Name | Mrs. LOTA MALLIK | Contact No | |
| Address | SERAMPORE CHATRA | Age | 30 Years,1 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||