Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03948 | Date 02/03/2019 |
| Token No | SM/22-23/17132 26/09/2022 | Serial | 037 Last Visit: 26/09/2022 |
| Patient Name | Miss PAYEL KARMAKAR | Contact No | 7278025421 |
| Address | 12,CHAKRABORTY LANE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||