Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12799 | Date 06/12/2023 |
| Token No | SM/22-23/27111 13/12/2023 | Serial | 022 Last Visit: 15/01/2024 |
| Patient Name | Mrs. NISHA HARI | Contact No | 7044147501 |
| Address | 20D BARA BAGAN LANE SERAMPORE | Age | 15 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||