Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10126 | Date 24/09/2021 |
| Token No | SM/22-23/29083 12/02/2024 | Serial | 005 Last Visit: 21/07/2025 |
| Patient Name | Master SK SARAFAT | Contact No | |
| Address | 36 KHANDAKAR PARA SEORAPHULI BAIDYABATI | Age | 5 Years,0 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||