Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11668 | Date 12/11/2022 |
| Token No | SM/22-23/17835 12/11/2022 | Serial | 038 Last Visit: 13/08/2025 |
| Patient Name | Baby KOYAL BOSE | Contact No | 7890847893 |
| Address | 80 BARUI PARA LANE | Age | 6 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||