Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04816 | Date 22/04/2019 |
| Token No | SM/19-20/1355 22/04/2019 | Serial | 070 Last Visit: 15/11/2022 |
| Patient Name | Miss AVISHA BERA | Contact No | 7449344933 |
| Address | 12 JAGA MOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||