Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12230 | Date 12/07/2023 |
| Token No | SM/24-25/31639 22/04/2024 | Serial | 073 Last Visit: 09/01/2025 |
| Patient Name | Miss PRITI SAH | Contact No | 9903255904 |
| Address | CHOWDHURY PARA BY LANE | Age | 10 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||