Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14189 | Date 23/08/2024 |
| Token No | SM/24-25/37198 13/09/2024 | Serial | 006 Last Visit: 16/07/2025 |
| Patient Name | Miss BIDHISHA GHOSH | Contact No | 9804574489 |
| Address | 6/3 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 14 Years,9 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 96/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||