Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12608 | Date 11/10/2023 |
| Token No | SM/22-23/25217 11/10/2023 | Serial | 027 Last Visit: 11/10/2023 |
| Patient Name | Miss ANKITA BAG | Contact No | 8617570530 |
| Address | 18 DR, BAGAN LANE , BAIDYABATI (M) | Age | 10 Years,3 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||