Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00085 | Date 03/08/2018 |
| Token No | SM/22-23/30203 11/03/2024 | Serial | 100 Last Visit: 11/03/2024 |
| Patient Name | Mrs. SHREELEKHA BISWAS | Contact No | |
| Address | 6 J.M LAHIRI LANE | Age | 17 Years,2 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/59 mmHg | Weight | 57 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||