Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13815 | Date 05/06/2024 |
| Token No | SM/24-25/33287 05/06/2024 | Serial | 048 Last Visit: 05/06/2024 |
| Patient Name | Master KASISH ANSARI | Contact No | 7685001718 |
| Address | G T ROAD PAMPA NAGAR , BAIDYABATI (M) | Age | 3 Years,7 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||