Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07681 | Date 29/02/2020 |
| Token No | SM/19-20/20166 23/03/2020 | Serial | 061 Last Visit: 10/07/2024 |
| Patient Name | Miss ISHIKA CHANDRA | Contact No | 9239317133 |
| Address | 32/U DR. BAGAN LANE, | Age | 17 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||