Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12225 | Date 11/07/2023 |
| Token No | SM/22-23/23323 02/08/2023 | Serial | 019 Last Visit: 21/09/2024 |
| Patient Name | Miss SONIA KAR | Contact No | 8981104232 |
| Address | 27 HARI MOHAN GOSWAMI LANE | Age | 17 Years,8 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||