Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13078 | Date 04/01/2024 |
| Token No | SM/22-23/27826 04/01/2024 | Serial | 039 Last Visit: 04/01/2024 |
| Patient Name | Miss SONALI DAS | Contact No | 7044248872 |
| Address | CHATRA SHITLATALA, BAIDYABATI (M) | Age | 16 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||