Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14412 | Date 18/10/2024 |
| Token No | SM/24-25/38291 18/10/2024 | Serial | 014 Last Visit: 18/10/2024 |
| Patient Name | Miss PINKI DEY | Contact No | 9062769691 |
| Address | 3/2 K C MUKHERJEE STREET CHATRA SHITLATALA | Age | 19 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||