Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10069 | Date 10/09/2021 |
| Token No | SM/21-22/4962 10/09/2021 | Serial | 018 Last Visit: 12/07/2023 |
| Patient Name | Miss SHREYA PATRO | Contact No | 7439238662 |
| Address | TIN BAZAR SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||