Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01631 | Date 11/10/2018 |
| Token No | SM/18-19/7832 02/02/2019 | Serial | 021 Last Visit: 11/03/2024 |
| Patient Name | Miss SAYANTIKA BHADRA | Contact No | 9883479900 |
| Address | CHATRA LANKAR BAGAN | Age | 7 Years,8 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||