Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11589 | Date 19/09/2022 |
| Token No | SM/22-23/16860 19/09/2022 | Serial | 010 Last Visit: 19/09/2022 |
| Patient Name | Miss SOUMITRA MUKHERJEE | Contact No | 8420032121 |
| Address | 13/14 MUKHERJEE PARA CHATRA SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||