Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00872 | Date 01/09/2018 |
| Token No | SM/18-19/5375 17/12/2018 | Serial | 056 Last Visit: 07/10/2023 |
| Patient Name | Miss MANJISTHA GHOSH | Contact No | 9088914432 |
| Address | 29/C CHAKRABORTY LANE, SERAMPORE | Age | 5 Years,9 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||