Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07082 | Date 05/12/2019 |
| Token No | SM/19-20/14719 05/12/2019 | Serial | 047 Last Visit: 21/11/2022 |
| Patient Name | Miss ARADHYA GHOSH | Contact No | 8296025056 |
| Address | 190,77/2 TELI PARA BAGER BAGAN CHATRA , BAIDYABATI(M) | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||