Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13679 | Date 11/05/2024 |
| Token No | SM/24-25/32410 11/05/2024 | Serial | 043 Last Visit: 11/05/2024 |
| Patient Name | Miss ANGEL AGARWAL | Contact No | 890239375 |
| Address | 10/K ROY M C LAHIRIR STREET SERAMPORE | Age | 12 Years,6 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||