Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07476 | Date 05/02/2020 |
| Token No | SM/20-21/25733 15/09/2020 | Serial | 058 Last Visit: 05/12/2022 |
| Patient Name | Miss SRESHTI KUMARI | Contact No | 9007282945 |
| Address | 42 L B S ROAD,SERAMPORE | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||