Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11373 | Date 30/07/2022 |
| Token No | SM/22-23/15219 30/07/2022 | Serial | 017 Last Visit: 12/12/2022 |
| Patient Name | Miss ISHIKA BENERJEE | Contact No | 9051189326 |
| Address | CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||