Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14152 | Date 10/08/2024 |
| Token No | SM/24-25/35894 10/08/2024 | Serial | 015 Last Visit: 10/08/2024 |
| Patient Name | Mrs. MOLLY DEY | Contact No | |
| Address | SERAMPORE | Age | 28 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||