Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11724 | Date 30/11/2022 |
| Token No | SM/22-23/18421 30/11/2022 | Serial | 013 Last Visit: 30/11/2022 |
| Patient Name | Baby MONOSWITA CHOWDHURY | Contact No | 9830388655 |
| Address | 4 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||