Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14123 | Date 01/08/2024 |
| Token No | SM/24-25/35646 01/08/2024 | Serial | 036 Last Visit: 01/08/2024 |
| Patient Name | Mrs. SOUMI DAS | Contact No | |
| Address | SERAMPORE | Age | 16 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||