Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00824 | Date 29/08/2018 |
| Token No | SM/25-26/2121 04/06/2025 | Serial | 023 Last Visit: 04/06/2025 |
| Patient Name | Baby TIYASHA SAMANTA | Contact No | 9163942016 |
| Address | 36/C A.P GHOSH ROAD CHATRA SERAMPORE | Age | 14 Years,0 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||