Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14447 | Date 23/10/2024 |
| Token No | SM/24-25/38542 23/10/2024 | Serial | 041 Last Visit: 23/10/2024 |
| Patient Name | Miss PAMPA PAL | Contact No | 6291321985 |
| Address | 25/1 GODAR BAGAN LANE BAIDYABATI (M) | Age | 23 Years,9 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||