Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13411 | Date 09/03/2024 |
| Token No | SM/22-23/30082 09/03/2024 | Serial | 017 Last Visit: 12/07/2025 |
| Patient Name | Master MD AZAN | Contact No | 9927273751 |
| Address | BURO BIBI BAZAR SERAMPORE | Age | 2 Years,11 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||