Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13952 | Date 29/06/2024 |
| Token No | SM/24-25/34254 29/06/2024 | Serial | 027 Last Visit: 29/06/2024 |
| Patient Name | Mrs. MAMATA BAUL DAS | Contact No | |
| Address | PANDUA KHANDAR | Age | 35 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||