Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09429 | Date 05/04/2021 |
| Token No | SM/21-22/3961 11/08/2021 | Serial | 024 Last Visit: 07/07/2025 |
| Patient Name | Miss NISRAN PARBIN | Contact No | 8017838129 |
| Address | 56/N.N ROY STREET SERAMPORE | Age | 13 Years,6 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||