Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02281 | Date 01/12/2018 |
| Token No | SM/25-26/5701 04/09/2025 | Serial | 051 Last Visit: 06/09/2025 |
| Patient Name | Baby MADHURI DAS | Contact No | 9088431122 |
| Address | 27B A.P GHOSH ROAD | Age | 11 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||