Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07479 | Date 05/02/2020 |
| Token No | SM/22-23/18489 02/12/2022 | Serial | 010 Last Visit: 01/11/2024 |
| Patient Name | Miss BRISTI ADGIRI | Contact No | |
| Address | SERAMPORE HOOGHLY | Age | 22 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||