Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05479 | Date 18/06/2019 |
| Token No | SM/19-20/4828 18/06/2019 | Serial | 086 Last Visit: 20/09/2025 |
| Patient Name | Miss RENESHA KUNDU | Contact No | 9163088560 |
| Address | 5 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 13 Years,8 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||