Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06282 | Date 30/08/2019 |
| Token No | SM/22-23/14461 08/07/2022 | Serial | 038 Last Visit: 26/09/2023 |
| Patient Name | Miss SUMITA PAL | Contact No | 9088548823 |
| Address | 52 CHATRA DHARMOTALA LANE SERAMPORE | Age | 12 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||