Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11996 | Date 20/03/2023 |
| Token No | SM/22-23/20766 20/03/2023 | Serial | 030 Last Visit: 31/07/2023 |
| Patient Name | Miss SANDIPTA MONDAL | Contact No | 8777898047 |
| Address | 1 CHATRA BARUI PARA LANE | Age | 10 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||