Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10961 | Date 25/04/2022 |
| Token No | SM/22-23/12016 25/04/2022 | Serial | 044 Last Visit: 25/04/2022 |
| Patient Name | Miss KOYAL SASHMAL | Contact No | 6290137510 |
| Address | CHATRA SITALA TALA ROAD SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||