Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13482 | Date 23/03/2024 |
| Token No | SM/22-23/30670 23/03/2024 | Serial | 054 Last Visit: 23/03/2024 |
| Patient Name | Mrs. KRISHNA MOJUMDER | Contact No | |
| Address | SERAMPORE | Age | 27 Years,2 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||