Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12607 | Date 11/10/2023 |
| Token No | SM/22-23/25216 11/10/2023 | Serial | 026 Last Visit: 11/10/2023 |
| Patient Name | Miss OINDRILA BAG | Contact No | 8420086791 |
| Address | 18 DOCTOR BAGAN LANE SERAMPORE | Age | 10 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||