Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11524 | Date 05/09/2022 |
| Token No | SM/22-23/26481 25/11/2023 | Serial | 019 Last Visit: 10/03/2025 |
| Patient Name | Miss MADHURIMA GANGULY | Contact No | 8336835371 |
| Address | 14/AVIVEKANANDA LANE | Age | 14 Years,2 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||