Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11432 | Date 13/08/2022 |
| Token No | SM/22-23/15694 13/08/2022 | Serial | 023 Last Visit: 13/08/2022 |
| Patient Name | Miss SALMA PARBIN | Contact No | 9163332015 |
| Address | 11, GOPINATH SAHA STREET SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||