Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11336 | Date 25/07/2022 |
| Token No | SM/25-26/2150 05/06/2025 | Serial | 011 Last Visit: 05/06/2025 |
| Patient Name | Miss RAJASHREE PRAMANIK | Contact No | |
| Address | SERAMPORE | Age | 15 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||