Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07194 | Date 19/12/2019 |
| Token No | SM/22-23/29748 29/02/2024 | Serial | 059 Last Visit: 29/02/2024 |
| Patient Name | Miss AFSANA KHATOON | Contact No | 9748770251 |
| Address | 4/A MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 14 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||