Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15637 | Date 02/07/2025 |
| Token No | SM/25-26/3110 02/07/2025 | Serial | 021 Last Visit: 13/08/2025 |
| Patient Name | Miss JEVA PARWEEN | Contact No | 6290477527 |
| Address | TINBAZAR, SERAMPORE | Age | 12 Years,2 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||