Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05909 | Date 23/07/2019 |
| Token No | SM/19-20/7140 23/07/2019 | Serial | 078 Last Visit: 01/11/2023 |
| Patient Name | Miss RIMPA PAUL | Contact No | 7439444469 |
| Address | 51/D CHATRA DHARMOTALA SERAMPORE | Age | 11 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||