Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14823 | Date 14/01/2025 |
| Token No | SM/24-25/41702 14/01/2025 | Serial | 021 Last Visit: 14/01/2025 |
| Patient Name | Mrs. LILABATI SHAW | Contact No | 6291953072 |
| Address | 33/B RAILQUATER | Age | 47 Years,0 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||