Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10549 | Date 11/01/2022 |
| Token No | SM/21-22/8853 11/01/2022 | Serial | 044 Last Visit: 11/01/2022 |
| Patient Name | Miss DEBIKA MALIK | Contact No | 9748749797 |
| Address | 27,BAROBAGAN LANE SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 24.238227 |
| Diagnosis | |||