Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04070 | Date 07/03/2019 |
| Token No | SM/18-19/10092 07/03/2019 | Serial | 095 Last Visit: 12/04/2025 |
| Patient Name | Mr. SUMIT DAS | Contact No | 9674871505 |
| Address | CHATRA LANKAR BAGAN SACHTASI PARA , BAIDYABATI(M) | Age | 15 Years,1 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||