Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14133 | Date 03/08/2024 |
| Token No | SM/24-25/35702 03/08/2024 | Serial | 002 Last Visit: 03/08/2024 |
| Patient Name | Mrs. MITA DEY | Contact No | |
| Address | SERAMPORE | Age | 16 Years,7 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||