Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06500 | Date 23/09/2019 |
| Token No | SM/22-23/23958 29/08/2023 | Serial | 004 Last Visit: 29/08/2023 |
| Patient Name | Miss PIHUNA MAITY | Contact No | 9874241930 |
| Address | 124/C CHATRA BARUI PARA, SERAM[PORE | Age | 8 Years,3 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||