Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01914 | Date 05/11/2018 |
| Token No | SM/18-19/8382 09/02/2019 | Serial | 027 Last Visit: 21/07/2025 |
| Patient Name | Miss ANNESHA DEY | Contact No | 9674547401 |
| Address | 160 N S EVENU | Age | 12 Years,6 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||