Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13928 | Date 24/06/2024 |
| Token No | SM/24-25/34029 24/06/2024 | Serial | 074 Last Visit: 24/06/2024 |
| Patient Name | Mrs. RESHMIN KHAN | Contact No | |
| Address | SERAMPORE | Age | 15 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||