Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11723 | Date 30/11/2022 |
| Token No | SM/22-23/18420 30/11/2022 | Serial | 012 Last Visit: 30/11/2022 |
| Patient Name | Miss ARPITA MUKHERJEE | Contact No | 9674288346 |
| Address | 54 CHAKRABORTY LANE CHATRA SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||