Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06366 | Date 11/09/2019 |
| Token No | SM/22-23/15915 22/08/2022 | Serial | 025 Last Visit: 03/04/2024 |
| Patient Name | Miss DEEPSHIKHA CHAKRABORTY | Contact No | 9836378050 |
| Address | 6 P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 10 Years,3 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||