Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13677 | Date 11/05/2024 |
| Token No | SM/24-25/32389 11/05/2024 | Serial | 022 Last Visit: 11/05/2024 |
| Patient Name | Mrs. ARPITA SINGHA RAY | Contact No | 8910291170 |
| Address | 8 CHAPA TALA LANE CHATRA SERAMPORE | Age | 36 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||