Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12685 | Date 01/11/2023 |
| Token No | SM/22-23/25785 01/11/2023 | Serial | 012 Last Visit: 01/11/2023 |
| Patient Name | Miss RIDDHIKA DUTTA | Contact No | 9674513442 |
| Address | 10/E ROY M.C LAHIRI BAHADUR STREET | Age | 13 Years,1 Months,19 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||