Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12715 | Date 06/11/2023 |
| Token No | SM/22-23/25987 06/11/2023 | Serial | 029 Last Visit: 06/11/2023 |
| Patient Name | Miss ANWESHA MALLICK | Contact No | 9433898065 |
| Address | 12/A DOCTOR BAGAN LANE SERAMPORE | Age | 18 Years,2 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||