Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09119 | Date 02/01/2021 |
| Token No | SM/22-23/14205 02/07/2022 | Serial | 003 Last Visit: 26/09/2023 |
| Patient Name | Miss RACHANA SIL | Contact No | 9831335331 |
| Address | 54/C S.C CHATTERJEE SARANI SERAMPORE(M) | Age | 13 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||