Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11741 | Date 05/12/2022 |
| Token No | SM/22-23/18613 06/12/2022 | Serial | 014 Last Visit: 06/12/2022 |
| Patient Name | Miss ANUSUYA SAHA | Contact No | 9051089621 |
| Address | 61/A THAUKUR DAS BABU LANE SERAMPORE | Age | 14 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||