Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03090 | Date 19/01/2019 |
| Token No | SM/18-19/7546 29/01/2019 | Serial | 039 Last Visit: 09/04/2025 |
| Patient Name | Mr. TUHIN ROY | Contact No | 8777609879 |
| Address | CHATRA LANKAR BAGAN, BAIDYABATI(M) | Age | 8 Years,9 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||