Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04072 | Date 07/03/2019 |
| Token No | SM/18-19/10100 07/03/2019 | Serial | 103 Last Visit: 02/05/2022 |
| Patient Name | Miss SWATI GHOSH | Contact No | 9231910086 |
| Address | CHATRA MANNA PARA RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||