Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10359 | Date 29/11/2021 |
| Token No | SM/22-23/17258 29/09/2022 | Serial | 047 Last Visit: 17/03/2023 |
| Patient Name | Miss SRUTI KOLEY | Contact No | 9331072693 |
| Address | 14 THAKUR DAS BABU LANE SERAMPORE (M) | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 157.7 cm BMI: 19.703015 |
| Diagnosis | |||