Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12310 | Date 04/08/2023 |
| Token No | SM/22-23/23368 04/08/2023 | Serial | 013 Last Visit: 04/08/2023 |
| Patient Name | Miss TARANA PARBIN | Contact No | 6291505652 |
| Address | 21 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 3 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||