Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05588 | Date 27/06/2019 |
| Token No | SM/22-23/14604 14/07/2022 | Serial | 009 Last Visit: 30/07/2025 |
| Patient Name | Miss RAYSA KUNDU | Contact No | 9007794938 |
| Address | 5 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 15 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||