Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13678 | Date 11/05/2024 |
| Token No | SM/24-25/32488 14/05/2024 | Serial | 014 Last Visit: 15/05/2024 |
| Patient Name | Miss SHERYA SOM | Contact No | 7980568259 |
| Address | 118/A BARUI PARA LANE CHATRA SERAMPORE | Age | 25 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||