Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01684 | Date 26/10/2018 |
| Token No | SM/19-20/5032 21/06/2019 | Serial | 058 Last Visit: 23/11/2023 |
| Patient Name | Miss RINKI MITRA | Contact No | 9038541692 |
| Address | 22 A.K DUTTA SARANI CHATRA, SERAMPORE | Age | 14 Years,10 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||