Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 14456 | Date 26/10/2024 |
| Token No | SM/24-25/38649 26/10/2024 | Serial | 034 Last Visit: 07/07/2025 |
| Patient Name | Miss SONALI MONDAL | Contact No | 7003155227 |
| Address | 33 MUSALMAN PARA SERAMPORE , TIKIYA PARA | Age | 11 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||