Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00024 | Date 01/08/2018 |
| Token No | SM/18-19/6791 14/01/2019 | Serial | 082 Last Visit: 09/09/2025 |
| Patient Name | Mr. RITIKA GANGAPUTRA | Contact No | 8481841790 |
| Address | A.P. GHOSH ROAD | Age | 9 Years,11 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||