Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14721 | Date 30/12/2024 |
| Token No | SM/24-25/41112 30/12/2024 | Serial | 001 Last Visit: 30/12/2024 |
| Patient Name | Mrs. BARNALI GHOSH | Contact No | |
| Address | SERAMPORE | Age | 23 Years,11 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||