Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13809 | Date 04/06/2024 |
| Token No | SM/25-26/5260 25/08/2025 | Serial | 075 Last Visit: 25/08/2025 |
| Patient Name | Miss NISHA DUTTA | Contact No | 9062377058 |
| Address | 252 K B C ROAD HATKHOLA MANSA TALA CHANDANNAGAR | Age | 10 Years,2 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||