Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14659 | Date 07/12/2024 |
| Token No | SM/24-25/40397 07/12/2024 | Serial | 041 Last Visit: 07/12/2024 |
| Patient Name | Mrs. MOUMITA SAMANTA | Contact No | 8949708968 |
| Address | CHATRA BOU BAZAR SHEORAPHULI, BAIDYABATI (M) | Age | 26 Years,7 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||