Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07760 | Date 12/03/2020 |
| Token No | SM/19-20/19440 12/03/2020 | Serial | 002 Last Visit: 30/08/2022 |
| Patient Name | Miss TEJU MUKHERJEE | Contact No | 9748763129 |
| Address | 26 P.N MUKHERJEE STREET SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||