Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13647 | Date 04/05/2024 |
| Token No | SM/24-25/32105 04/05/2024 | Serial | 022 Last Visit: 04/05/2024 |
| Patient Name | Mrs. MOUSUMI ROY | Contact No | |
| Address | 32 HARIJON ROAD | Age | 25 Years,5 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||