Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13904 | Date 19/06/2024 |
| Token No | SM/24-25/33836 19/06/2024 | Serial | 070 Last Visit: 19/06/2024 |
| Patient Name | Master SHRESTHANGSU DEBNATH | Contact No | 9007910896 |
| Address | 31 NO KUMIR JALA ROAD | Age | 5 Years,0 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||