Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12091 | Date 15/05/2023 |
| Token No | SM/22-23/21640 15/05/2023 | Serial | 009 Last Visit: 03/06/2024 |
| Patient Name | Miss RAHANA KHATUN | Contact No | 8276067782 |
| Address | CHATRA KUMOR PARA, SERAMPORE | Age | 16 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||