Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11562 | Date 12/09/2022 |
| Token No | SM/22-23/28542 30/01/2024 | Serial | 025 Last Visit: 05/03/2025 |
| Patient Name | Miss SWASTIKA DAS | Contact No | 9433904465 |
| Address | 9/A/1 VIVEKANAND LANE SERAMPORE | Age | 14 Years,7 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26.2 KG |
| Pulse Rate | / min | Height | 138.5 cm BMI: 13.658460 |
| Diagnosis | |||