Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05860 | Date 20/07/2019 |
| Token No | SM/22-23/16266 02/09/2022 | Serial | 034 Last Visit: 07/07/2025 |
| Patient Name | Miss ANWRSHA BAG | Contact No | 9836764962 |
| Address | CHATRA MANNA PARA ,BAIDYABATI(M) | Age | 10 Years,6 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||