Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15603 | Date 21/06/2025 |
| Token No | SM/25-26/3033 28/06/2025 | Serial | 030 Last Visit: 28/06/2025 |
| Patient Name | Miss BRISTI MONDAL | Contact No | 8420105826 |
| Address | 41/1 HARIJAN ROAD SERAMPORE, BAIDYABATI(M) | Age | 14 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||