Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13979 | Date 03/07/2024 |
| Token No | SM/24-25/34428 03/07/2024 | Serial | 036 Last Visit: 03/07/2024 |
| Patient Name | Miss SANJANA KUMARI | Contact No | 9674421442 |
| Address | 15-E MUSALMAN PARA ROAD BAIDYABATI(M) | Age | 10 Years,0 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||