Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04383 | Date 25/03/2019 |
| Token No | SM/19-20/18439 20/02/2020 | Serial | 031 Last Visit: 28/01/2023 |
| Patient Name | Miss MIILEE JANA | Contact No | 7686007312 |
| Address | 16 RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||