Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10918 | Date 12/04/2022 |
| Token No | SM/22-23/11657 12/04/2022 | Serial | 005 Last Visit: 13/01/2025 |
| Patient Name | Miss SWASTIKA CHAUDHURY | Contact No | 8337099220 |
| Address | 44/1A/CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 9 Years,0 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||