Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07920 | Date 24/03/2020 |
| Token No | SM/21-22/10869 17/03/2022 | Serial | 035 Last Visit: 21/09/2024 |
| Patient Name | Miss JHUMPA KUMARI SINGH | Contact No | 9831758618 |
| Address | 1 CHATRA MUSALMAN PARA CHATUGHANGE,SHEORAPHULI SERAMPORE | Age | 10 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||