Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11034 | Date 23/05/2022 |
| Token No | SM/22-23/29963 06/03/2024 | Serial | 036 Last Visit: 06/03/2024 |
| Patient Name | Miss PRAJITA MANNA | Contact No | 8927901903 |
| Address | 13 P N MUKHERJEE ROAD SERAMPORE | Age | 5 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||