Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13424 | Date 11/03/2024 |
| Token No | SM/22-23/30168 11/03/2024 | Serial | 065 Last Visit: 27/07/2024 |
| Patient Name | Miss KOBITA DEY | Contact No | 6291914759 |
| Address | 5 CHAKRABORTY LANE SERAMPORE | Age | 12 Years,6 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||