Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15972 | Date 30/08/2025 |
| Token No | SM/25-26/5498 30/08/2025 | Serial | 052 Last Visit: 30/08/2025 |
| Patient Name | Baby TAMALIKA BHUIYA | Contact No | 9088093060 |
| Address | 2/2 SATCHASI PARA CHATRA BAIDYABATI (M) | Age | 5 Years,3 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||