Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14416 | Date 19/10/2024 |
| Token No | SM/24-25/38332 19/10/2024 | Serial | 012 Last Visit: 19/10/2024 |
| Patient Name | Baby SAMRIDDHI KARMAKAR | Contact No | 8777685169 |
| Address | 67/1 G T ROAD WEST SERAMPORE MALLICKPARA SERAMPORE | Age | 4 Years,3 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||