Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14279 | Date 19/09/2024 |
| Token No | SM/24-25/37415 19/09/2024 | Serial | 060 Last Visit: 19/09/2024 |
| Patient Name | Miss AYESHA KHATUN | Contact No | |
| Address | SEERAMPORE | Age | 16 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||