Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04871 | Date 23/04/2019 |
| Token No | SM/19-20/18482 22/02/2020 | Serial | 005 Last Visit: 02/03/2021 |
| Patient Name | Miss DEBARATI BANERJEE | Contact No | 9088143804 |
| Address | 15 P.N MUKHERJEE STREET SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||