Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13892 | Date 15/06/2024 |
| Token No | SM/24-25/33713 15/06/2024 | Serial | 017 Last Visit: 15/06/2024 |
| Patient Name | Miss KAKON HALDER | Contact No | |
| Address | SERAMPORE | Age | 15 Years,5 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||