Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14826 | Date 14/01/2025 |
| Token No | SM/24-25/41713 14/01/2025 | Serial | 032 Last Visit: 14/01/2025 |
| Patient Name | Mrs. KOUSHALI CHAKRABORTY | Contact No | 8697358131 |
| Address | 38 NO APGHOSH ROAD | Age | 12 Years,2 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||