Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12117 | Date 27/05/2023 |
| Token No | SM/22-23/21883 27/05/2023 | Serial | 021 Last Visit: 19/11/2024 |
| Patient Name | Miss RIMPA RUI DAS | Contact No | 7439872479 |
| Address | 51/33 HARIJAN ROAD CHARTA SERAMPORE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||