Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14667 | Date 11/12/2024 |
| Token No | SM/25-26/2398 11/06/2025 | Serial | 055 Last Visit: 24/10/2025 |
| Patient Name | Miss TRISHA KHAN | Contact No | 9474802444 |
| Address | KUPSIT,HOOGHLY | Age | 19 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||