Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14602 | Date 26/11/2024 |
| Token No | SM/24-25/40201 03/12/2024 | Serial | 007 Last Visit: 03/12/2025 |
| Patient Name | Miss JAYEETA MALIK | Contact No | 9831666276 |
| Address | GODAR BAGAN,BAIDYABATI(M) | Age | 16 Years,3 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||