Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04115 | Date 09/03/2019 |
| Token No | SM/21-22/6703 09/11/2021 | Serial | 029 Last Visit: 28/03/2023 |
| Patient Name | Miss PRIYANKA JHA | Contact No | 9681059453 |
| Address | N.N ROY STREET SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||