Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13994 | Date 06/07/2024 |
| Token No | SM/24-25/34526 06/07/2024 | Serial | 019 Last Visit: 06/07/2024 |
| Patient Name | Miss SWITY CHONGHDAR | Contact No | |
| Address | SERMPORE | Age | 15 Years,6 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||