Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13367 | Date 02/03/2024 |
| Token No | SM/22-23/29793 02/03/2024 | Serial | 003 Last Visit: 02/03/2024 |
| Patient Name | Mrs. NILIMA PAL | Contact No | |
| Address | TELIPARA BAIDYABATI | Age | 21 Years,2 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||