Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13102 | Date 09/01/2024 |
| Token No | SM/22-23/27998 09/01/2024 | Serial | 035 Last Visit: 09/01/2024 |
| Patient Name | Miss ANKITA CHAKRABORTY | Contact No | 9163641775 |
| Address | 36/2 SHITALATALA ROAD BAIDYABATI(M) | Age | 10 Years,0 Months,25 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||