Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15171 | Date 24/03/2025 |
| Token No | SM/24-25/44234 24/03/2025 | Serial | 053 Last Visit: 24/03/2025 |
| Patient Name | Miss SUSMITA DAS | Contact No | 7688016220 |
| Address | 56 (SWASTIK RESIDENCY ), CHATRA DUTTA PARA DOLTALA | Age | 16 Years,9 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||