Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11126 | Date 14/06/2022 |
| Token No | SM/22-23/13548 14/06/2022 | Serial | 028 Last Visit: 14/06/2022 |
| Patient Name | Miss NANDANI BHARTI | Contact No | 9123718013 |
| Address | 11, RABINDRA BHABAN SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||