Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11172 | Date 22/06/2022 |
| Token No | SM/22-23/15601 10/08/2022 | Serial | 031 Last Visit: 17/02/2025 |
| Patient Name | Baby SOHANA KHATUN | Contact No | 8240345713 |
| Address | 15/A KANAI DEWAN TALA LANE SERAMPORE | Age | 5 Years,5 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | CET mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||