Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13057 | Date 30/12/2023 |
| Token No | SM/22-23/27703 30/12/2023 | Serial | 039 Last Visit: 18/07/2025 |
| Patient Name | Miss ANUSKA JHA | Contact No | 7003856876 |
| Address | ROY GHAT LANE SERAMPORE | Age | 11 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||