Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10198 | Date 09/10/2021 |
| Token No | SM/21-22/5940 09/10/2021 | Serial | 013 Last Visit: 18/07/2025 |
| Patient Name | Miss ESHNA BAG | Contact No | 8582880322 |
| Address | 49 HARIJON ROAD,BAIDYABATI(M) | Age | 11 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||