Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03308 | Date 02/02/2019 |
| Token No | SM/22-23/26250 16/11/2023 | Serial | 014 Last Visit: 07/03/2024 |
| Patient Name | Miss ANISHA KHATUN | Contact No | 8820186193 |
| Address | 1, CHATRA MUSALMAN PARA, SERAMPORE | Age | 14 Years,4 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||