Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13471 | Date 20/03/2024 |
| Token No | SM/22-23/30527 20/03/2024 | Serial | 011 Last Visit: 20/03/2024 |
| Patient Name | Miss TANISHA DUTTA | Contact No | 8240000367 |
| Address | 93/A CHATRA BARUI PARA LANE SERAMPORE | Age | 8 Years,0 Months,14 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||