Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14625 | Date 30/11/2024 |
| Token No | SM/24-25/40103 30/11/2024 | Serial | 002 Last Visit: 30/11/2024 |
| Patient Name | Mrs. RUPALI GHOSH | Contact No | |
| Address | SERAMPORE | Age | 31 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||