Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00521 | Date 17/08/2018 |
| Token No | SM/22-23/23108 24/07/2023 | Serial | 012 Last Visit: 19/07/2025 |
| Patient Name | Miss SUBSHREE SHAW | Contact No | 8013504463 |
| Address | SOUTH BHATCHARJEE PARA | Age | 12 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 134 cm BMI: 26.175095 |
| Diagnosis | |||