Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15041 | Date 21/02/2025 |
| Token No | SM/24-25/43149 21/02/2025 | Serial | 028 Last Visit: 21/02/2025 |
| Patient Name | Miss SHREYOSEE DUTTA | Contact No | 9082891908 |
| Address | 51/C/9 BARABAGAN LANE SERAMPORE MALLICKPARA | Age | 10 Years,1 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||