Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02477 | Date 12/12/2018 |
| Token No | SM/18-19/8211 07/02/2019 | Serial | 038 Last Visit: 16/07/2025 |
| Patient Name | Miss SNIGDHA MALLICK | Contact No | 9800779922 |
| Address | 56 CHATRA DUTTA PARA | Age | 14 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||