Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14397 | Date 15/10/2024 |
| Token No | SM/24-25/38210 15/10/2024 | Serial | 009 Last Visit: 15/10/2024 |
| Patient Name | Mrs. RUSA GHOSH | Contact No | |
| Address | SERAMPORE | Age | 16 Years,9 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||