Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15495 | Date 06/06/2025 |
| Token No | SM/25-26/2216 06/06/2025 | Serial | 038 Last Visit: 06/06/2025 |
| Patient Name | Miss ARPITA DAS | Contact No | 9903882135 |
| Address | 2/C P N K B LANE CHATRA SERAMPORE | Age | 13 Years,0 Months,30 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 29.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||