Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06793 | Date 05/11/2019 |
| Token No | SM/22-23/17999 15/11/2022 | Serial | 003 Last Visit: 07/08/2023 |
| Patient Name | Miss TRISHA DAS | Contact No | 7278070333 |
| Address | 24 BARO BAGAN LANE MALLICK PARA, SERAMPORE | Age | 7 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||