Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11306 | Date 20/07/2022 |
| Token No | SM/22-23/14820 20/07/2022 | Serial | 019 Last Visit: 20/07/2022 |
| Patient Name | Miss NISHA POREL | Contact No | 8482065413 |
| Address | 80/B/1 G T ROAD SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||