Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08566 | Date 20/07/2020 |
| Token No | SM/19-20/24254 20/07/2020 | Serial | 027 Last Visit: 13/12/2024 |
| Patient Name | Miss SARA ALI | Contact No | 9123612951 |
| Address | 19 CHATRA KANAHAI DEWAN TALA LANE , SERAMPORE | Age | 13 Years,2 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||