Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00039 | Date 02/08/2018 |
| Token No | SM/19-20/8449 16/08/2019 | Serial | 032 Last Visit: 10/09/2025 |
| Patient Name | Mr. AYENJIT KUNDU | Contact No | 7980613029 |
| Address | CHATRA SATCHASI PARA | Age | 12 Years,8 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||