Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07971 | Date 30/03/2020 |
| Token No | SM/21-22/7679 11/12/2021 | Serial | 002 Last Visit: 09/02/2024 |
| Patient Name | Miss TANU RUIDAS | Contact No | 9133722304 |
| Address | 51/33 HARIJAN ROAD CHATRA SERAMPORE | Age | 8 Years,1 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||