Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09292 | Date 06/03/2021 |
| Token No | SM/20-21/30672 13/03/2021 | Serial | 011 Last Visit: 27/11/2025 |
| Patient Name | Mr. SRI KAJAL LAHA | Contact No | 8017569930 |
| Address | 23 (17) SHITALA TALA ROAD CHATRA BAIDYABATI(M) | Age | 17 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||