Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09588 | Date 06/05/2021 |
| Token No | SM/21-22/4812 06/09/2021 | Serial | 044 Last Visit: 23/07/2025 |
| Patient Name | Miss NIDHI KOIRY | Contact No | 6291066210 |
| Address | 11 T . P BHATTACHARYA STREET SERAMPORE | Age | 14 Years,0 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||