Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14385 | Date 09/10/2024 |
| Token No | SM/24-25/43241 22/02/2025 | Serial | 047 Last Visit: 22/02/2025 |
| Patient Name | Miss PRAMILA KOLEY | Contact No | 9231512708 |
| Address | 447 (294), G T ORAD CHATRA BOWBAZAR, BAIDYABATI (M) | Age | 16 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||