Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03969 | Date 02/03/2019 |
| Token No | SM/19-20/16633 13/01/2020 | Serial | 035 Last Visit: 04/08/2021 |
| Patient Name | Miss SHREYA GHOSH | Contact No | 9903140777 |
| Address | 52/25 R K ROAD,MANNA PARA,BAIDYABATI(M) 9 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||