Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14023 | Date 09/07/2024 |
| Token No | SM/24-25/41905 20/01/2025 | Serial | 030 Last Visit: 20/01/2025 |
| Patient Name | Miss JOSNA KHATOON | Contact No | 7003874729 |
| Address | 12 M P LANE SERAMPORE | Age | 15 Years,7 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||