Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06798 | Date 05/11/2019 |
| Token No | SM/25-26/7555 03/11/2025 | Serial | 057 Last Visit: 03/11/2025 |
| Patient Name | Miss JOYEETA PAUL | Contact No | 9163888428 |
| Address | 74/A RAMKRIHNA ROAD , BAIDYABTI (M) | Age | 16 Years,11 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||