Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11436 | Date 13/08/2022 |
| Token No | SM/22-23/15711 13/08/2022 | Serial | 040 Last Visit: 13/08/2022 |
| Patient Name | Miss MADHURIMA KAYAL | Contact No | 9163402845 |
| Address | TELIPARA BAGER BAGAN CHINSURAH BAIDYABATI(M) | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||