Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07254 | Date 30/12/2019 |
| Token No | SM/20-21/29352 14/01/2021 | Serial | 018 Last Visit: 06/04/2023 |
| Patient Name | Miss SAKHILA KHATUN | Contact No | 8100657844 |
| Address | 35/A CHATRA MUSALMAN PARA , SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||