Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13398 | Date 07/03/2024 |
| Token No | SM/22-23/30028 07/03/2024 | Serial | 040 Last Visit: 07/03/2024 |
| Patient Name | Mrs. DOLAN ROY | Contact No | |
| Address | SERAMPORE | Age | 20 Years,2 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||