Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13921 | Date 24/06/2024 |
| Token No | SM/24-25/33999 24/06/2024 | Serial | 044 Last Visit: 24/06/2024 |
| Patient Name | Miss SANGITA RAJBHAR | Contact No | |
| Address | BAZAR BY LANE SERAMPORE | Age | 19 Years,2 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||