Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11661 | Date 10/11/2022 |
| Token No | SM/22-23/17769 10/11/2022 | Serial | 009 Last Visit: 10/11/2022 |
| Patient Name | Baby PRIYANSHI LAHA | Contact No | 9088051712 |
| Address | 130/E CHATRA BARUI PARA SERAMPORE | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||