Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07429 | Date 27/01/2020 |
| Token No | SM/22-23/14279 04/07/2022 | Serial | 050 Last Visit: 26/11/2025 |
| Patient Name | Master SONU YADAV | Contact No | 9123967531 |
| Address | BAGER BAGAN TELI PARA, BAIDYABATI(M) | Age | 7 Years,10 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||