Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11697 | Date 22/11/2022 |
| Token No | SM/22-23/26750 05/12/2023 | Serial | 008 Last Visit: 05/12/2023 |
| Patient Name | Miss RUBANA KHATUN | Contact No | 9674023586 |
| Address | 7 ARABINDA SARANI, SERAMPORE | Age | 15 Years,7 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||