Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12292 | Date 28/07/2023 |
| Token No | SM/22-23/23231 28/07/2023 | Serial | 016 Last Visit: 28/07/2023 |
| Patient Name | Baby NIHIRIKA DUTTA CHOWDHURY | Contact No | 8910053725 |
| Address | 6/H P N CHAKRABORTY LANE MODAN MOHAN VILLA, CHATRA SERAMPORE | Age | 2 Years,1 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||