Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14481 | Date 02/11/2024 |
| Token No | SM/24-25/38918 02/11/2024 | Serial | 011 Last Visit: 02/11/2024 |
| Patient Name | Mrs. SUJATA SARKAR | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 37 Years,5 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||