Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06375 | Date 11/09/2019 |
| Token No | SM/19-20/10178 11/09/2019 | Serial | 085 Last Visit: 12/03/2024 |
| Patient Name | Miss NUPUR GHOSH | Contact No | 9836997553 |
| Address | 4/A DHARMOTALA LANE, SERAMPORE | Age | 12 Years,4 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||