Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10079 | Date 13/09/2021 |
| Token No | SM/21-22/5048 13/09/2021 | Serial | 038 Last Visit: 11/01/2023 |
| Patient Name | Miss AVISHIKTA PATRA | Contact No | 8420249164 |
| Address | 273, SATCHASI PARA SERAMPORE | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||