Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15167 | Date 24/03/2025 |
| Token No | SM/24-25/44215 24/03/2025 | Serial | 034 Last Visit: 24/03/2025 |
| Patient Name | Miss TRISHITA KARMAKAR | Contact No | 9874412021 |
| Address | 0153 SARDAR PARA ASHIM SANGHA CLUB SERAMPORE , MALLICKPRA | Age | 8 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||