Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07541 | Date 14/02/2020 |
| Token No | SM/20-21/27061 02/11/2020 | Serial | 056 Last Visit: 29/11/2025 |
| Patient Name | Miss MONALISHA ROY | Contact No | 9748363534 |
| Address | 205 G. T. ROAD,BAIDYABATI(M) | Age | 11 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||