Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07419 | Date 25/01/2020 |
| Token No | SM/19-20/17192 25/01/2020 | Serial | 035 Last Visit: 24/11/2023 |
| Patient Name | Baby SUCHORITA SANYAL | Contact No | 9830964478 |
| Address | 3C HARIMOHAN GOSWAMI STREET SERAMPORE | Age | 12 Years,1 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||