Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12704 | Date 03/11/2023 |
| Token No | SM/22-23/25890 03/11/2023 | Serial | 014 Last Visit: 07/12/2024 |
| Patient Name | Miss JHUMJHUMI SADHUKHAN | Contact No | 9874358689 |
| Address | 10 CHAKRABORTY LANE, SERAMPORE | Age | 10 Years,2 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||