Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07768 | Date 12/03/2020 |
| Token No | SM/19-20/19518 12/03/2020 | Serial | 080 Last Visit: 12/03/2020 |
| Patient Name | Miss RAJANYA DAS | Contact No | 9330666352 |
| Address | 3M DUTTA PARA LANE CHATRA SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||