Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13322 | Date 23/02/2024 |
| Token No | SM/22-23/29508 23/02/2024 | Serial | 014 Last Visit: 23/02/2024 |
| Patient Name | Miss SONI KUMARI PRASAD | Contact No | 6290078004 |
| Address | 25/A KUMIR JALA ROAD SERAMPORE MALLICKPARA | Age | 18 Years,7 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||