Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12811 | Date 07/12/2023 |
| Token No | SM/25-26/938 02/05/2025 | Serial | 001 Last Visit: 02/05/2025 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | |
| Address | bazar bye lane | Age | 23 Years,4 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||