Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11702 | Date 23/11/2022 |
| Token No | SM/22-23/23364 04/08/2023 | Serial | 009 Last Visit: 04/08/2023 |
| Patient Name | Miss PUBALI DUTTA | Contact No | 7278132957 |
| Address | 67/A CHATRA BARUIPARA LANE SERAMPORE | Age | 24 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||