Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13368 | Date 02/03/2024 |
| Token No | SM/22-23/29794 02/03/2024 | Serial | 004 Last Visit: 14/03/2024 |
| Patient Name | Mrs. RUPSA DEY | Contact No | |
| Address | SERAMPORE | Age | 15 Years,2 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||