Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00301 | Date 10/08/2018 |
| Token No | SM/18-19/325 10/08/2018 | Serial | 013 Last Visit: 27/09/2023 |
| Patient Name | Miss PRIYA DAS | Contact No | 8479821176 |
| Address | 17 P.N.K BANERJEE LANE | Age | 12 Years,0 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||