Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04831 | Date 22/04/2019 |
| Token No | SM/19-20/1401 22/04/2019 | Serial | 116 Last Visit: 29/05/2025 |
| Patient Name | Miss SOVA MAITY | Contact No | |
| Address | SERAMPORE | Age | 19 Years,0 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||