Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02322 | Date 04/12/2018 |
| Token No | SM/18-19/8826 16/02/2019 | Serial | 050 Last Visit: 12/11/2025 |
| Patient Name | Miss SNEHA MALLICK | Contact No | 9800779922 |
| Address | 56 CHATRA DUTTA PARA | Age | 18 Years,0 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||