Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09126 | Date 05/01/2021 |
| Token No | SM/24-25/35933 13/08/2024 | Serial | 013 Last Visit: 13/08/2024 |
| Patient Name | Miss ISHITA CHAKRABORTY | Contact No | 9123996482 |
| Address | 11/D DR P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 23 Years,9 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||