Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14256 | Date 13/09/2024 |
| Token No | SM/24-25/42869 14/02/2025 | Serial | 006 Last Visit: 14/02/2025 |
| Patient Name | Mrs. KANAK GHORUI | Contact No | 7890661354 |
| Address | SIMLA BISAKABI PARA SERAMPORE | Age | 83 Years,1 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||