Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01639 | Date 12/10/2018 |
| Token No | SM/22-23/14111 28/06/2022 | Serial | 033 Last Visit: 10/10/2025 |
| Patient Name | Miss RIYA SARKAR | Contact No | 8017569932 |
| Address | CHATRA SHITALATALA, BAIDYABATI(M) | Age | 8 Years,9 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||