Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14599 | Date 25/11/2024 |
| Token No | SM/24-25/39864 25/11/2024 | Serial | 005 Last Visit: 25/11/2024 |
| Patient Name | Mrs. SHILPA MONDAL | Contact No | |
| Address | SERAMPORE | Age | 23 Years,10 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||