Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 15515 | Date 10/06/2025 |
| Token No | SM/25-26/2342 10/06/2025 | Serial | 017 Last Visit: 10/06/2025 |
| Patient Name | Miss MADHUPARNA GHOSH | Contact No | 9831311372 |
| Address | 186 (66/1/H/1/H)RAMKRISHNA ROAD , BAIDYABATI (M) | Age | 9 Years,4 Months,27 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||