Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05576 | Date 26/06/2019 |
| Token No | SM/22-23/17628 04/11/2022 | Serial | 009 Last Visit: 18/10/2023 |
| Patient Name | Miss SREYASHI GHOSH | Contact No | 7543973209 |
| Address | 8,A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 8 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||