Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01788 | Date 30/10/2018 |
| Token No | SM/18-19/6888 16/01/2019 | Serial | 034 Last Visit: 04/04/2025 |
| Patient Name | Mr. SURAJ PARUI | Contact No | 9062335537 |
| Address | 11/B LANKAR BAGAN BAIDYABATI (M) | Age | 8 Years,2 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||