Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11390 | Date 04/08/2022 |
| Token No | SM/22-23/15374 04/08/2022 | Serial | 035 Last Visit: 30/06/2025 |
| Patient Name | Master GOURAB NANDAN | Contact No | 8820005824 |
| Address | 59, BARABAGAN LANE SERAMPORE | Age | 11 Years,9 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||