Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14138 | Date 07/08/2024 |
| Token No | SM/25-26/2298 09/06/2025 | Serial | 062 Last Visit: 09/06/2025 |
| Patient Name | Miss ANKITA DAS | Contact No | 9836469170 |
| Address | 26/B A.P GHOSH ROAD,SERAMPORE M,CHATRA,HOOGHLY | Age | 13 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||