Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14492 | Date 05/11/2024 |
| Token No | SM/24-25/38992 05/11/2024 | Serial | 017 Last Visit: 05/11/2024 |
| Patient Name | Miss HEENA KHATUN | Contact No | 8017901682 |
| Address | 21 KANAI DEOWAN TALA LANE SERAMPORE | Age | 12 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||