Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13710 | Date 20/05/2024 |
| Token No | SM/24-25/32660 20/05/2024 | Serial | 004 Last Visit: 20/05/2024 |
| Patient Name | Mrs. MOHIMA YEASMIN | Contact No | |
| Address | SERAMPORE | Age | 24 Years,4 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||