Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15727 | Date 21/07/2025 |
| Token No | SM/25-26/4158 26/07/2025 | Serial | 028 Last Visit: 26/07/2025 |
| Patient Name | Miss SULAGNA KOLEY | Contact No | 9883327449 |
| Address | 96 RAMKRISHNA ROAD SERAMPORE, BAIDYABATI (M) | Age | 10 Years,5 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||