Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01441 | Date 01/10/2018 |
| Token No | SM/22-23/23437 08/08/2023 | Serial | 003 Last Visit: 16/09/2023 |
| Patient Name | Miss RUPANJANA SAHA | Contact No | 9239127058 |
| Address | 51A/1 TAHKUR DAS BABU LANE | Age | 10 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||