Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11644 | Date 03/11/2022 |
| Token No | SM/22-23/17612 03/11/2022 | Serial | 009 Last Visit: 04/01/2023 |
| Patient Name | Miss JULAKHA KHATOON | Contact No | 9831255650 |
| Address | 5 ARABINDA SARANI SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||