Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01780 | Date 30/10/2018 |
| Token No | SM/18-19/3169 30/10/2018 | Serial | 040 Last Visit: 21/08/2023 |
| Patient Name | Miss PAYAL KARMAKAR | Contact No | 7278025421 |
| Address | 25 CHAKRABORTY LANE SERAMPORE | Age | 14 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||