Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06697 | Date 19/10/2019 |
| Token No | SM/20-21/30576 10/03/2021 | Serial | 014 Last Visit: 29/02/2024 |
| Patient Name | Miss SANA PARAMANIK | Contact No | 9831616590 |
| Address | 22/A PN CHAKRABORTY LANE SERAMPORE | Age | 9 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||