Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15369 | Date 24/05/2025 |
| Token No | SM/25-26/4039 23/07/2025 | Serial | 069 Last Visit: 04/12/2025 |
| Patient Name | Baby TRISHNI MOHANTA | Contact No | 9875400306 |
| Address | CHATRA ,BHATCHARJEE PARA | Age | 2 Years,1 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||