Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13667 | Date 09/05/2024 |
| Token No | SM/24-25/32260 09/05/2024 | Serial | 001 Last Visit: 19/08/2024 |
| Patient Name | Mrs. MOUMITA SANTRA | Contact No | 9093966332 |
| Address | 37 H,MUSALMAN PARA,SEORAPHULLY, HOOGHLY | Age | 18 Years,4 Months,29 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||