Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01583 | Date 09/10/2018 |
| Token No | SM/19-20/5632 29/06/2019 | Serial | 065 Last Visit: 27/03/2024 |
| Patient Name | Miss TIA BISWAS | Contact No | 7278469861 |
| Address | 57 A M /C G T ROAD,POMPA NAGAR | Age | 16 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||