Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00594 | Date 20/08/2018 |
| Token No | SM/18-19/10432 12/03/2019 | Serial | 023 Last Visit: 12/03/2024 |
| Patient Name | Miss SRIJITA DUTTA | Contact No | 6290448110 |
| Address | 17/B CHAPA TALA LANE CHATRA | Age | 6 Years,2 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||