Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12683 | Date 01/11/2023 |
| Token No | SM/22-23/25774 01/11/2023 | Serial | 001 Last Visit: 25/06/2025 |
| Patient Name | Mr. ARITRA CHOWDHURY | Contact No | 9674013820 |
| Address | 20 CHATRA CHOEDHURY PARA BYE LANE | Age | 14 Years,10 Months,16 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 83.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||