Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07856 | Date 19/03/2020 |
| Token No | SM/20-21/26673 15/10/2020 | Serial | 016 Last Visit: 24/01/2024 |
| Patient Name | Miss ALIVIYA SOM | Contact No | 9830679114 |
| Address | 19/A BARUIPARA LANE CHATRA SERAMPORE | Age | 7 Years,2 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||