Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14255 | Date 12/09/2024 |
| Token No | SM/24-25/37192 12/09/2024 | Serial | 057 Last Visit: 12/09/2024 |
| Patient Name | Mrs. LILI JATI | Contact No | 9804460290 |
| Address | 33 CHOWDHURY PARA BYE LANE CHATRA SERAMPORE | Age | 23 Years,6 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||