Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06606 | Date 11/10/2019 |
| Token No | SM/19-20/11585 11/10/2019 | Serial | 033 Last Visit: 11/10/2019 |
| Patient Name | Miss SUBECHHA CHOWDHURY | Contact No | 9123382185 |
| Address | 23/B CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||