Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09361 | Date 19/03/2021 |
| Token No | SM/21-22/2827 05/07/2021 | Serial | 011 Last Visit: 05/07/2021 |
| Patient Name | Miss TRISHNA CHAKRABORTY | Contact No | 9163330951 |
| Address | 2 CHATRA CHNAPA TALA, SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||