Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06241 | Date 27/08/2019 |
| Token No | SM/19-20/17771 07/02/2020 | Serial | 044 Last Visit: 10/03/2023 |
| Patient Name | Miss AMRITA DAS | Contact No | 9836469170 |
| Address | 26/B A.P GHOSH ROAD CHATRA SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||