Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13704 | Date 18/05/2024 |
| Token No | SM/24-25/32644 18/05/2024 | Serial | 004 Last Visit: 18/05/2024 |
| Patient Name | Mrs. SANJUKTA MONDAL | Contact No | |
| Address | SERAMPORE | Age | 20 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||