Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09476 | Date 17/04/2021 |
| Token No | SM/24-25/31209 08/04/2024 | Serial | 049 Last Visit: 04/04/2025 |
| Patient Name | Miss TAMALIKA SARKAR | Contact No | 9836878330 |
| Address | 6/6 K.C MUKHERJEE STREET,CHATRA ,SERAMPORE | Age | 8 Years,5 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||