Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11683 | Date 17/11/2022 |
| Token No | SM/22-23/18007 17/11/2022 | Serial | 011 Last Visit: 17/11/2022 |
| Patient Name | Miss DEBJANI DUTTA | Contact No | 9831325032 |
| Address | 18 C CHOWDHURY PARA BYE LANE SERAMPORE | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||