Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10498 | Date 04/01/2022 |
| Token No | SM/22-23/16861 19/09/2022 | Serial | 011 Last Visit: 20/01/2023 |
| Patient Name | Miss BIPASA GHOSH | Contact No | 6289819608 |
| Address | 67/A/1,J.N LAHIRI ROAD SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||