Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09467 | Date 16/04/2021 |
| Token No | SM/21-22/7346 30/11/2021 | Serial | 026 Last Visit: 07/10/2024 |
| Patient Name | Miss DEEPSIKHA CHAKRABORTY | Contact No | 9836378050 |
| Address | 6 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 11 Years,4 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||