Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14121 | Date 01/08/2024 |
| Token No | SM/24-25/35623 01/08/2024 | Serial | 013 Last Visit: 01/08/2024 |
| Patient Name | Miss ANUSMITA DAS | Contact No | 9804021569 |
| Address | 4 CHOWDHURY PARA LANE , MAITRY PARISHAD PLAY GROUND , SERAMPORE | Age | 10 Years,8 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||