Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01348 | Date 26/09/2018 |
| Token No | SM/18-19/2088 26/09/2018 | Serial | 017 Last Visit: 11/08/2025 |
| Patient Name | Miss TANUSHREE CHATERJEE | Contact No | 9831534998 |
| Address | 9, P.N MUKHERJEE STREET SERAMPORE | Age | 11 Years,8 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||