Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14584 | Date 22/11/2024 |
| Token No | SM/24-25/39767 22/11/2024 | Serial | 008 Last Visit: 22/11/2024 |
| Patient Name | Miss RAJOSREE GUIN | Contact No | 9832124490 |
| Address | 11/A SHITALATALA ROAD BAIDYABATI | Age | 15 Years,6 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||