Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13439 | Date 13/03/2024 |
| Token No | SM/22-23/30292 13/03/2024 | Serial | 046 Last Visit: 27/03/2025 |
| Patient Name | Master ADITYA DAS | Contact No | 7596827849 |
| Address | 24 BARO BAGAN LANE | Age | 11 Years,9 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||