Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13026 | Date 26/12/2023 |
| Token No | SM/24-25/33731 18/06/2024 | Serial | 001 Last Visit: 18/06/2024 |
| Patient Name | Mrs. SUDIPTA DAS | Contact No | |
| Address | SERAMPORE | Age | 22 Years,5 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||