Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10307 | Date 18/11/2021 |
| Token No | SM/21-22/10501 05/03/2022 | Serial | 004 Last Visit: 16/01/2023 |
| Patient Name | Miss DEBARATI BANERJEE | Contact No | |
| Address | 14,JAGA MOHAN LAHIRI LANE SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||