Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07680 | Date 29/02/2020 |
| Token No | SM/25-26/8453 29/11/2025 | Serial | 043 Last Visit: 29/11/2025 |
| Patient Name | Baby DISHA GHOSH | Contact No | 9836942740 |
| Address | 2 DUTTA PARA LANE | Age | 10 Years,2 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||