Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04069 | Date 07/03/2019 |
| Token No | SM/20-21/29634 21/01/2021 | Serial | 054 Last Visit: 24/07/2024 |
| Patient Name | Miss ISHIKA DAS | Contact No | 9007161694 |
| Address | 39B/92 CHATRA SACHTASHI PARA LANE , BAIDYABATI(M) | Age | 11 Years,7 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||