Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01788 | Date 30/10/2018 |
| Token No | SM/22-23/27081 12/12/2023 | Serial | 030 Last Visit: 04/04/2025 |
| Patient Name | Mr. SURAJ PARUI | Contact No | 9062335537 |
| Address | 11/B LANKAR BAGAN BAIDYABATI (M) | Age | 8 Years,2 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||