Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06296 | Date 31/08/2019 |
| Token No | SM/24-25/38883 01/11/2024 | Serial | 010 Last Visit: 17/01/2025 |
| Patient Name | Miss RITU ADGIRI | Contact No | 9874579157 |
| Address | 65/4 BYE SERAMPORE | Age | 16 Years,0 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||