Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 15938 | Date 25/08/2025 |
| Token No | SM/25-26/5268 25/08/2025 | Serial | 083 Last Visit: 25/08/2025 |
| Patient Name | Baby ANJALI KUMARI | Contact No | 9123687613 |
| Address | 30 (27) KALAHATA BAIDYABATI (M) | Age | 2 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||