Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07177 | Date 18/12/2019 |
| Token No | SM/22-23/20083 28/01/2023 | Serial | 031 Last Visit: 07/04/2025 |
| Patient Name | Miss RACHANA SARDAR | Contact No | 9330123655 |
| Address | 126/6/A,TELIPARA CHATRA BAIDYABATI | Age | 17 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||