Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15169 | Date 24/03/2025 |
| Token No | SM/25-26/1511 19/05/2025 | Serial | 061 Last Visit: 19/05/2025 |
| Patient Name | Miss ANNESHA MONDAL | Contact No | 6291451987 |
| Address | CHOTO BELU MILKI | Age | 13 Years,1 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||