Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00256 | Date 09/08/2018 |
| Token No | SM/21-22/6848 16/11/2021 | Serial | 016 Last Visit: 29/10/2024 |
| Patient Name | Miss RIYA DAS | Contact No | 9106296772 |
| Address | 17 P.N.K BANERJEE LANE ,CHATRA SERAMPORE | Age | 7 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||