Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15628 | Date 28/06/2025 |
| Token No | SM/25-26/3034 28/06/2025 | Serial | 031 Last Visit: 12/07/2025 |
| Patient Name | Baby KRITIKA GHOSH | Contact No | 7980691926 |
| Address | 62/A SC CHATTERJEE SARANI SERAMPORE | Age | 5 Years,7 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||