Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10682 | Date 18/02/2022 |
| Token No | SM/21-22/9987 18/02/2022 | Serial | 042 Last Visit: 18/02/2022 |
| Patient Name | Baby RITISHA SENGUPTA | Contact No | 9062049182 |
| Address | 36 DR .G.C. GOSWAMI STREET SERAMPORE | Age | 5YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||