Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05277 | Date 28/05/2019 |
| Token No | SM/19-20/9543 31/08/2019 | Serial | 024 Last Visit: 06/06/2025 |
| Patient Name | Miss SRISTI PAUL | Contact No | 9830045006 |
| Address | 36 CHATRA KUMAR PARA SERAMPORE | Age | 7 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||