Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03089 | Date 19/01/2019 |
| Token No | SM/19-20/19656 14/03/2020 | Serial | 059 Last Visit: 09/04/2025 |
| Patient Name | Miss TANUSHREE ROY | Contact No | 8777609879 |
| Address | CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 12 Years,3 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||