Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01300 | Date 24/09/2018 |
| Token No | SM/18-19/3222 31/10/2018 | Serial | 026 Last Visit: 10/09/2025 |
| Patient Name | Baby RAIMA KUNDU | Contact No | 9875694146 |
| Address | SEORAPHULI,SHIBTALA , BAIDYABATI(M) | Age | 7 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||