Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11885 | Date 24/01/2023 |
| Token No | SM/22-23/20013 24/01/2023 | Serial | 048 Last Visit: 27/06/2024 |
| Patient Name | Miss SUMANA DAS | Contact No | 9038588769 |
| Address | 68N GT ROAD SERAMPORE | Age | 22 Years,1 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||