Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14149 | Date 10/08/2024 |
| Token No | SM/24-25/35891 10/08/2024 | Serial | 012 Last Visit: 10/08/2024 |
| Patient Name | Mrs. ISHIKA GHOSH | Contact No | |
| Address | SERAMPORE | Age | 16 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||