Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02336 | Date 04/12/2018 |
| Token No | SM/18-19/5978 29/12/2018 | Serial | 033 Last Visit: 11/07/2025 |
| Patient Name | Miss ADRIJA KARAR | Contact No | 8017532544 |
| Address | 12 SHIBTALA BAI LANE , BAIDYABATI (M) | Age | 12 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||