Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11508 | Date 31/08/2022 |
| Token No | SM/22-23/24852 30/09/2023 | Serial | 002 Last Visit: 30/09/2023 |
| Patient Name | Miss POULOMI LAHA | Contact No | 9163954170 |
| Address | 130/E CHATRA BARUI PARA LANE SERAMPORE | Age | 12 Years,5 Months,20 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||