Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15500 | Date 09/06/2025 |
| Token No | SM/25-26/2302 09/06/2025 | Serial | 066 Last Visit: 09/06/2025 |
| Patient Name | Miss RIDDHIMA PAL | Contact No | 9874305375 |
| Address | 16 CHATRA BARUI PARA LANE, SERAMPORE | Age | 9 Years,0 Months,7 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||