Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01678 | Date 26/10/2018 |
| Token No | SM/22-23/15834 18/08/2022 | Serial | 022 Last Visit: 17/02/2025 |
| Patient Name | Miss PINKI MITRA | Contact No | 9038541692 |
| Address | 22, CHATRA BAJAR ROAD , DUTTA SARANI | Age | 15 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||