Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11162 | Date 20/06/2022 |
| Token No | SM/22-23/13777 20/06/2022 | Serial | 059 Last Visit: 20/06/2022 |
| Patient Name | Miss MONISHA PAL | Contact No | 9836610036 |
| Address | 4/A/1 DR P.N MUKHERJEE STREET SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||