Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15547 | Date 13/06/2025 |
| Token No | SM/25-26/2488 13/06/2025 | Serial | 043 Last Visit: 13/06/2025 |
| Patient Name | Miss ADRIJA DAS | Contact No | 9804264110 |
| Address | 20/D BARA BAGAN LANE SERAMPORE | Age | 8 Years,7 Months,4 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||