Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 14260 | Date 14/09/2024 |
| Token No | SM/24-25/37241 14/09/2024 | Serial | 007 Last Visit: 14/09/2024 |
| Patient Name | Miss JHUMA DAS | Contact No | 7439133853 |
| Address | 19 K M SHA STREET SERAMPORE | Age | 17 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||