Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15004 | Date 12/02/2025 |
| Token No | SM/24-25/42839 12/02/2025 | Serial | 062 Last Visit: 12/02/2025 |
| Patient Name | Miss LAXMI SASMAL | Contact No | 8479963351 |
| Address | NAGA BHATTCHARJEE GARDEN SERAMPORE | Age | 12 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||