Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12440 | Date 07/09/2023 |
| Token No | SM/22-23/24196 07/09/2023 | Serial | 026 Last Visit: 07/09/2023 |
| Patient Name | Miss OINDRILA PAUL | Contact No | 9163000198 |
| Address | 31 BHADURI LANE CHATRA SERAMPORE | Age | 13 Years,9 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||