Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14037 | Date 10/07/2024 |
| Token No | SM/24-25/34785 10/07/2024 | Serial | 052 Last Visit: 10/07/2024 |
| Patient Name | Miss NARGISH KHATUN | Contact No | 9330312977 |
| Address | 7/A, MUSALMAN PARA LANE, CHATRA, SERAMPORE,712223 | Age | 14 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||