Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06804 | Date 06/11/2019 |
| Token No | SM/22-23/27934 08/01/2024 | Serial | 024 Last Visit: 08/01/2024 |
| Patient Name | Miss SHRAOSREE DAS | Contact No | 8013392743 |
| Address | 41 CHAKRABORTY LANE SERAMPORE | Age | 7 Years,3 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||