Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16192 | Date 18/10/2025 |
| Token No | SM/25-26/7142 18/10/2025 | Serial | 007 Last Visit: 18/10/2025 |
| Patient Name | Baby BISHAKHA DAS | Contact No | 7044278585 |
| Address | 56 SATCHASI PARA,BAIDYABATI(M) | Age | 5 Years,11 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||