Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14528 | Date 12/11/2024 |
| Token No | SM/24-25/39280 12/11/2024 | Serial | 002 Last Visit: 15/11/2024 |
| Patient Name | Mrs. BRISTI BAGCHI | Contact No | 7908706957 |
| Address | 16/A KUMIR JALA ROAD | Age | 19 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||