Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11343 | Date 27/07/2022 |
| Token No | SM/22-23/15081 27/07/2022 | Serial | 018 Last Visit: 20/01/2023 |
| Patient Name | Miss SUBHECHHA CHOWDHURY | Contact No | 9123382185 |
| Address | 23/B VHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||