Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05449 | Date 15/06/2019 |
| Token No | SM/20-21/30647 12/03/2021 | Serial | 041 Last Visit: 08/08/2023 |
| Patient Name | Miss SNEHA KHATUN | Contact No | 6291047329 |
| Address | 34 MUSALMANPARA / LANE CHATRA SERAMPORE | Age | 17 Years,8 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||