Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15248 | Date 30/04/2025 |
| Token No | SM/25-26/923 30/04/2025 | Serial | 033 Last Visit: 09/05/2025 |
| Patient Name | Mrs. RIYA MONDAL | Contact No | 6289478480 |
| Address | CHATRA BAGER BAGAN | Age | 17 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||