Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10079 | Date 13/09/2021 |
| Token No | SM/22-23/15552 08/08/2022 | Serial | 037 Last Visit: 11/01/2023 |
| Patient Name | Miss AVISHIKTA PATRA | Contact No | 8420249164 |
| Address | 273, SATCHASI PARA SERAMPORE | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||