Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03342 | Date 04/02/2019 |
| Token No | SM/24-25/42874 14/02/2025 | Serial | 011 Last Visit: 14/02/2025 |
| Patient Name | Mrs. MAHUA PATRA | Contact No | 9804704256 |
| Address | 134/A NETAJI SUBHAS AVNEW SERAMPORE | Age | 14 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||