Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13063 | Date 02/01/2024 |
| Token No | SM/22-23/28852 07/02/2024 | Serial | 009 Last Visit: 06/11/2024 |
| Patient Name | Master RUDRA HALDER | Contact No | 9875600614 |
| Address | 175/A, TELIPARA BAIDYABATI (M), 712204 | Age | 2 Years,4 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||