Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11713 | Date 28/11/2022 |
| Token No | SM/22-23/19365 30/12/2022 | Serial | 020 Last Visit: 30/12/2022 |
| Patient Name | Miss KOUSHIKI SADHUKHAN | Contact No | 9051402498 |
| Address | 3 DHARMOTALA LANE CHATRA SERAMPORE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||