Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12033 | Date 12/04/2023 |
| Token No | SM/22-23/21133 12/04/2023 | Serial | 013 Last Visit: 21/10/2024 |
| Patient Name | Miss USHOSI MOHANTI | Contact No | 9883175522 |
| Address | 24A/1 CHATRA KUMAR PARA SERAMPORE | Age | 11 Years,9 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||