Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00979 | Date 07/09/2018 |
| Token No | SM/24-25/34008 24/06/2024 | Serial | 053 Last Visit: 24/06/2024 |
| Patient Name | Mr. SUNNY SAMANTA | Contact No | |
| Address | CHATRA TETUL TALA | Age | 11 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||