Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04094 | Date 08/03/2019 |
| Token No | SM/22-23/14637 15/07/2022 | Serial | 019 Last Visit: 24/03/2025 |
| Patient Name | Miss BARSHA PAL | Contact No | 9674788126 |
| Address | 38/88,SATCHASHI PARA CHATRA SERAMPORE | Age | 16 Years,2 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||