Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01300 | Date 24/09/2018 |
| Token No | SM/25-26/5954 10/09/2025 | Serial | 035 Last Visit: 10/09/2025 |
| Patient Name | Baby RAIMA KUNDU | Contact No | 9875694146 |
| Address | SEORAPHULI,SHIBTALA , BAIDYABATI(M) | Age | 7 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||